Individual provider Active NPI

Marlene Fray

  • Primary Care Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1497351688
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
9391 Issued in CT
Practice address
4055 Valley View LN
Dallas, TX 75244-5074
Phone
(877) 868-5351
NPI assigned
Dec 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 9391 CT Primary

Addresses

Primary practice location

4055 Valley View LN
Dallas, TX 75244-5074

Mailing address

PO Box 121
East Hampton, CT 06424-0121
Phone (860) 604-2483

Other practice location 1

1229 Albany Ave
Hartford, CT 06112-2132
Phone (860) 524-9820

Other practice location 2

30 Lafayette Sq Ste 109
Vernon Rockville, CT 06066-4554
Phone (800) 391-0599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20211208000579 CT Practitioner - Nurse Practitioner 9537417225 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Choice Health Centers IncGroup PAC ID 2769417609, 39 clinicians

Practice addresses (Care Compare)

94 Connecticut Blvd
East Hartford, CT 06108-3013
Phone (860) 528-1359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9391CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Health Centers, Inc. CurrentSince Aug 4, 2025 Accepting new patients
First Choice Health Centers, Inc. Current Accepting new patients
First Choice Health Centers, Inc. CurrentSince Aug 4, 2025 Accepting new patients

Locations

94 Connecticut Blvd
Hartford, CT 06108
Phone (860) 610-6191

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.

NPI Registry JSON

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1497351688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 121",
            "city": "EAST HAMPTON",
            "state": "CT",
            "postal_code": "064240121",
            "telephone_number": "860-604-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 VALLEY VIEW LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445074",
            "telephone_number": "877-868-5351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1229 Albany Ave",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061122132",
            "country_code": "US",
            "telephone_number": "860-524-9820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Lafayette Sq Ste 109",
            "address_purpose": "LOCATION",
            "city": "Vernon Rockville",
            "state": "CT",
            "postal_code": "060664554",
            "country_code": "US",
            "telephone_number": "800-391-0599",
            "fax_number": "980-825-7196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAY",
        "first_name": "MARLENE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-11",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CT",
            "license": "9391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.