Active NPI
Alyssa Marie Gray, AGACNP-BC
- Acute Care Nurse Practitioner
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- APRN.CNP.022812
- Practice address
- 6001 E Broad St
Columbus, OH 43213-1502 - Phone
- (614) 234-6000
- NPI assigned
- May 18, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | RN.413215 | OH | |
| Acute Care Nurse Practitioner | 363LA2100X | APRN.CNP.022812 | OH | Primary |
Addresses
Primary practice location
6001 E Broad St
Columbus, OH 43213-1502
Mailing address
2673 Kingston Ave
Grove City, OH 43123-3325
Phone (614) 361-9057
Other practice location 1
793 W State St
Columbus, OH 43222
Phone (614) 234-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
477 Cooper Rd
Suite 300
Westerville, OH 43081-8057
Phone (614) 898-8808
6001 E Broad St
Columbus, OH 43213-1502
Phone (614) 234-6000
Hospital & facility affiliations
- Mount Carmel East & West
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.28 of 100
- Quality
- 99.21
- Improvement activities
- 40
- Cost
- 62.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.413215 | OH | MD | Critical Care Medicine Registered Nurse |
| APRN.CNP.022812 | OH | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Carmel Health System | Current | Accepting new patients | |
| Mount Carmel Health System | Current | Accepting new patients | |
| Premier Health Specialists Inc | Current | Accepting new patients | |
| Premier Health Specialists Inc | Current | Accepting new patients |
Locations
2350 Miami Valley Dr
Ste 300
Centerville, OH 45459
Phone (937) 438-8640
793 W State St
Columbus, OH 43222
Phone (614) 234-1862
6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400
6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420
450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773
477 Cooper Rd
Ste 300
Westerville, OH 43081
Phone (614) 898-8808
Interoperability endpoints
- agray1147993@direct.trinity-health.org
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1457617235
-
- Internal Medicine Physician
- Moraine, OH
- NPI 1194958223
-
- General Acute Care Hospital
- Dublin, OH
- NPI 1710752183
-
- Foot & Ankle Surgery Podiatrist
- Dayton, OH
- NPI 1902211287
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grove City, OH
- NPI 1710067376
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1982784534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1346730959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2673 KINGSTON AVE",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431233325",
"telephone_number": "614-361-9057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6001 E BROAD ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432131502",
"telephone_number": "614-234-6000"
}
],
"practiceLocations": [
{
"address_1": "793 W State St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "43222",
"country_code": "US",
"telephone_number": "614-234-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAY",
"first_name": "ALYSSA",
"middle_name": "MARIE",
"credential": "AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-18",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "OH",
"license": "RN.413215",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OH",
"license": "APRN.CNP.022812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.