Nichole Gray

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

0024191440 Issued in VA

Practice address

4604 Spotsylvania Pkwy Ste 340
Fredericksburg, VA 22408-7767

Phone

(540) 200-8272

NPI assigned

Oct 9, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vituity-Virginia Hospitalists PCGroup PAC ID 6507245131, 109 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Vituity-Virginia Hospitalists PC

  • Hospitalist Physician
  • Richmond, VA
  • NPI 1518611011
  Medicare reassignment Care Compare group
• Virginia Pulmonology and Critical Care LLC

  • Pulmonary Disease Physician
  • Fredericksbrg, VA
  • NPI 1225624679
  Medicare reassignment NPD
• Southeastern Intensivist Services PC

  • Hospitalist Physician
  • West Memphis, AR
  • NPI 1912942665

  VA

  Medicare reassignment NPD

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

• Bon Secours St Mary'S Hospital of Richmond LLC

  • Clinical Medical Laboratory
  • Richmond, VA
  • NPI 1588129480

  Hospital

  Care Compare affiliation
• Bon Secours St. Mary'S Hospital of Richmond LLC

  • General Acute Care Hospital
  • Richmond, VA
  • NPI 1962464016
  Care Compare affiliation
• Bon Secours-St. Mary'S Hospital of Richmond, Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Mechanicsville, VA
  • NPI 1457687543

  Hospital

  Care Compare affiliation
• Bon Secours-St. Mary'S Hospital of Richmond, Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Midlothian, VA
  • NPI 1548596638

  Hospital

  Care Compare affiliation
• Bon Secours-St. Mary'S Hospital of Richmond, Inc.

  • Cardiac Rehabilitation Clinic/Center
  • Richmond, VA
  • NPI 1902132095

  Hospital

  Care Compare affiliation
• Bon Secours-St. Mary'S Hospital of Richmond, Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Richmond, VA
  • NPI 1992031348

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1467271098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 VICTORIA DR",
            "city": "RUTHER GLEN",
            "state": "VA",
            "postal_code": "225461034",
            "telephone_number": "301-456-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4604 SPOTSYLVANIA PKWY STE 340",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224087767",
            "telephone_number": "540-200-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "NICHOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0024191440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharlean Butts Graves
• Nicolai Erik Gravina-Kursell
• Amalea Suzette Gray
• Daniel Paul Gray, M.D.
• Kathrine Lindsey Gray, APRN, FNP-BC
• Great American Anesthesia Services, Inc.
• Greater Washington Oral and Maxillofacial Surgery
• Ashley Nicole Green
• Dominique Green
• Janie Lovette Green

• Pulmonary Disease Physician in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Pulmonary Disease Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.

Verify at the official NPI Registry.