Individual provider Active NPI

Susan Beth Gray, APRN-CNP

  • Family Nurse Practitioner
  • Zanesville, OH
National Provider Identifier
1619634193
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0030284 Issued in OH
Practice address
200 N Maysville Ave
Zanesville, OH 43701-6172
Phone
(740) 455-3112
NPI assigned
Nov 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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 APRN.CNP.0030284 OH Primary

Addresses

Primary practice location

200 N Maysville Ave
Zanesville, OH 43701-6172

Mailing address

599 Haessler Ave
Zanesville, OH 43701-5014
Phone (740) 819-5362

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address szfmc@hotmail.com Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220321001746 OH Practitioner - Nurse Practitioner 3476948902 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
Physicians Group of Southeastern Ohio IncGroup PAC ID 8628232469, 61 clinicians

Practice addresses (Care Compare)

751 Forest Ave
Suite 202
Zanesville, OH 43701-2875
Phone (740) 455-3304

Hospital & facility affiliations

  • Genesis Hospital Hospital, Zanesville, OH, CCN 360039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0030284OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Home Primary Care Center Current Accepting new patients
Physicians Group of Southeastern Ohio Inc CurrentSince Jan 8, 2024 Accepting new patients

Locations

3620 Court Dr
Ste K
Zanesville, OH 43701
Phone (740) 454-1248

751 Forest Ave
Ste 202
Zanesville, OH 43701
Phone (740) 450-1687

751 Forest Ave
Ste 402
Zanesville, OH 43701
Phone (740) 452-1905

200 N Maysville Ave
Zanesville, OH 43701
Phone (740) 455-3112

751 Forest Ave
Ste 201
Zanesville, OH 43701
Phone (740) 454-7546

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1619634193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 HAESSLER AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437015014",
            "telephone_number": "740-819-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N MAYSVILLE AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437016172",
            "telephone_number": "740-455-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "SUSAN",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0030284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "szfmc@hotmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "200 N Maysville Ave",
            "city": "Zanesville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "437016172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.