Individual provider Active NPI

Angela Ray, APRN

  • Family Nurse Practitioner
  • Murray, KY
National Provider Identifier
1437861861
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3018743 Issued in KY
Practice address
300 S 8TH St Ste 509E
Murray, KY 42071-2403
Phone
(270) 759-4000
Fax
(270) 752-2857
NPI assigned
Dec 16, 2022
Last updated
Aug 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3018743 KY Primary

Addresses

Primary practice location

300 S 8TH St Ste 509E
Murray, KY 42071-2403

Mailing address

300 S 8TH St
Murray, KY 42071-2400

Other identifiers 1

IdentifierTypeStateIssuer
7100896310MedicaidKY

Other names 1

  • Angela Puckett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230330002789 KY Practitioner - Nurse Practitioner 1850766056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

300 S 8TH St
Suite 100W
Murray, KY 42071-2446
Phone (270) 762-1547

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.99 of 100Reported as group
Quality
73.34
Promoting interoperability
100
Improvement activities
40
Cost
73.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
3018743KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Murray-Calloway County Public Hospital Corporation CurrentSince Feb 27, 2023 Accepting new patients
Murray-Calloway County Public Hospital Corporation Family CurrentSince Feb 27, 2023 Accepting new patients

Locations

300 S 8th St
Murray, KY 42071
Phone (270) 759-1805

300 S 8th St
Ste 100W
Murray, KY 42071
Phone (270) 762-1547

300 S 8th St
Ste 480W
Murray, KY 42071
Phone (270) 762-1104

300 S 8th St
Ste 509E
Murray, KY 42071
Phone (270) 759-4000

803 Poplar St
Murray, KY 42071
Phone (270) 762-1155

Interoperability endpoints

  • Direct secure messaging: angela.ray.1@9266.direct.athenahealth.com

Organizations & group practices 2

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

Hospital & facility affiliations 2

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": "1671148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1437861861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S 8TH ST",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S 8TH ST STE 509E",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712403",
            "telephone_number": "270-759-4000",
            "fax_number": "270-752-2857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "ANGELA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-16",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3018743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100896310",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "PUCKETT",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Murray, KY

Sources for this page

Verify at the official NPI Registry.