Jennafer Adair Ray, CRNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1-164415 Issued in AL

Practice address

817 Princeton Ave SW Ste 199
Birmingham, AL 35211-1350

Phone

(205) 780-1920

Fax

(205) 780-2345

NPI assigned

Nov 15, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jennafer Adair Dykstra Former name

Medicare fee-for-service enrollment

Enrolled in AL

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Physician Services - Southeast Professional CorporationGroup PAC ID 5597774554, 825 clinicians

Anesthesiologists Associated PCGroup PAC ID 6204739519, shared by 3 NPIs, 418 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grandview Medical Center Hospital, Birmingham, AL, CCN 010104

Merit-based Incentive Payment System (MIPS)

Final score

85.07 of 100Reported as group

Quality

80.62

Promoting interoperability

100

Improvement activities

40

Cost

69.6

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jdykstra65068@baptisthealthaldirect.org

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 Physician Services - Southeast Professional Corporation

  • Hospitalist Physician
  • Monroe, GA
  • NPI 1760410385

  AL

  Medicare reassignment Care Compare group
• Alteon Health Alabama, LLC

  • Emergency Medicine Physician
  • Talladega, AL
  • NPI 1477708857
  Medicare reassignment NPD
• Baptist Health Centers, LLC

  dba Baptist Health Medical Group

  • Health Service Clinic/Center
  • Winfield, AL
  • NPI 1265496236
  Medicare reassignment NPD
• Emergency Physicians Group

  • Emergency Medicine Physician
  • Huntsville, AL
  • NPI 1659366649
  Medicare reassignment NPD
• Anesthesiologists Associated PC

  dba SAM Intensivist

  • Critical Care Medicine (Anesthesiology) Physician
  • Birmingham, AL
  • NPI 1285140921
  Medicare reassignment
• Anesthesiologists Associated PC

  dba SAM Critical Response Service

  • Critical Care Medicine (Internal Medicine) Physician
  • Birmingham, AL
  • NPI 1396353280
  Medicare reassignment
• Baptist Health Centers LLC

  dba Baptist Health Medical Group

  • Specialist
  • Talladega, AL
  • NPI 1669436721
  NPD

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

• Affinity Hospital LLC

  dba Grandview Medical Center

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1023061405
  Care Compare affiliation

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1679086326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352021407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 PRINCETON AVE SW STE 199",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111350",
            "telephone_number": "205-780-1920",
            "fax_number": "205-780-2345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Sivley Rd SW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358014421",
            "country_code": "US",
            "telephone_number": "256-265-3360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAY",
        "first_name": "JENNAFER",
        "middle_name": "ADAIR",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-15",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-164415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNAFER",
            "last_name": "DYKSTRA",
            "middle_name": "ADAIR",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Ray, DMD
• Fletcher Ray
• Grace Ann Ray
• Heather Hines Ray, D.P.T.
• Jacob Ray
• Kimberly Kahler Ray, RPH
• Monica Ray, CRNP
• Rachel K. Ray, CRNA
• Starlit Ray, RBT
• Trenton Ray

• Acute Care Nurse Practitioner in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Acute Care Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.