Individual provider Active NPI

Roberta Gray, CNM

  • Advanced Practice Midwife
  • Harrisonburg, VA
National Provider Identifier
1285614685
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
0024172520 Issued in VA
Practice address
240 Lucy Dr
Harrisonburg, VA 22801-8036
Phone
(540) 438-1314
Fax
(540) 438-0797
NPI assigned
Jan 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X ME00024500 NJ
Advanced Practice Midwife 367A00000X 0024172520 VA Primary
Obstetrics Physician 207VX0000X 0024172520 VA

Addresses

Primary practice location

240 Lucy Dr
Harrisonburg, VA 22801-8036

Mailing address

PO Box 388
Fishersville, VA 22939-0388
Phone (540) 438-1314

Other practice location 1

120 N Commerce Ave
Suite 230
Front Royal, VA 22630-2660
Phone (540) 635-0760

Other identifiers 1

IdentifierTypeStateIssuer
C06068MedicaidVA

Other names 1

  • Roberta Cherrywell Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL HARRISONBURG
Direct Messaging Address roberta.gray.1@14718.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150707000361 VA Practitioner - Nurse Practitioner 8022100817 Reassigns benefits to 2 organizations
I20190821004940 VA Practitioner - Certified Nurse Midwife (CNM) 8022100817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Rutgers New Jersey Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Augusta Medical GroupGroup PAC ID 3678632544, 409 clinicians

Practice addresses (Care Compare)

644 University Blvd
Harrisonburg, VA 22801-3773
Phone (540) 214-2930

Hospital & facility affiliations

  • Augusta Health Hospital, Fishersville, VA, CCN 490018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
ME00024500NJMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta Medical Group CurrentSince Aug 1, 2023 Accepting new patients
Valley Physician Enterprise, Inc Current Accepting new patients
Warren Memorial Hospital, Inc. Current Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince Aug 1, 2018 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Jun 8, 2015 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Jun 8, 2015 Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince Aug 1, 2018 Accepting new patients
Augusta Medical Group CurrentSince Aug 1, 2023 Accepting new patients
Valley Physician Enterprise, Inc. Past Accepting new patients
Premier Obstetrics and Gynecology of South Jersey LLC Past Accepting new patients

Locations

39 Beam Ln
Fishersville, VA 22939
Phone (540) 213-7750

53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687

120 N Commerce Ave
Ste 230
Front Royal, VA 22630
Phone (540) 635-0760

351 Valley Health Way
Front Royal, VA 22630
Phone (540) 636-0300

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

240 Lucy Dr
Harrisonburg, VA 22801
Phone (540) 433-1041

644 University Blvd
Harrisonburg, VA 22801
Phone (540) 564-5100

110 Houston St
Ste C
Lexington, VA 24450
Phone (540) 463-7751

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4
  • Direct secure messaging: roberta.gray.1@14718.direct.athenahealth.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1285614685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229390388",
            "telephone_number": "540-438-1314",
            "fax_number": "540-438-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 LUCY DR",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228018036",
            "telephone_number": "540-438-1314",
            "fax_number": "540-438-0797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 N Commerce Ave",
            "address_2": "Suite 230",
            "address_purpose": "LOCATION",
            "city": "Front Royal",
            "state": "VA",
            "postal_code": "226302660",
            "country_code": "US",
            "telephone_number": "540-635-0760",
            "fax_number": "540-635-0852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "ROBERTA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NJ",
            "license": "ME00024500",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VA",
            "license": "0024172520",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "VA",
            "license": "0024172520",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C06068",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "HARRISONBURG",
            "affiliation": "N",
            "address_1": "240 Lucy Dr",
            "city": "Harrisonburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "228018036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "roberta.gray.1@14718.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "240 Lucy Dr",
            "city": "Harrisonburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "228018036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ROBERTA",
            "last_name": "CHERRYWELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harrisonburg, VA

Sources for this page

Verify at the official NPI Registry.