Active NPI
Nira L. Ray, MHS, PA-C
- Physician Assistant
- Danbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 6639
- Practice address
- 24 Hospital Ave
Danbury, CT 06810-6077 - Phone
- (203) 739-7000
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 6639 | CT | Primary |
Addresses
Primary practice location
24 Hospital Ave
Danbury, CT 06810-6077
Mailing address
911 Lakeville St # 352
Petaluma, CA 94952-3329
Phone (415) 754-5584
Other practice location 1
911 Lakeville St # 352
Petaluma, CA 94952-3329
Phone (415) 754-5584
Other names 1
- Ms. Nira L. Hinckle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
100 Reserve Rd
Danbury, CT 06810-5212
24 Hospital Ave
Danbury, CT 06810-6077
Hospital & facility affiliations
- Danbury Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Rosa Orthopaedic Medical Group, Inc. | Current | Accepting new patients | |
| Gordon C. Lundy | Past | Accepting new patients | |
| Firstcare Medical Foundation | Physician Assistant | Past | Accepting new patients |
| Gordon C Lundy MD a Professional Corporation | Past | Accepting new patients | |
| Paul D. Abramson, MD, Inc. | Past | Accepting new patients |
Locations
1405 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 546-1922
Interoperability endpoints
- nray183922@hisp.ehr.sutterhealth.org
Organizations & group practices 6
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.
-
- Orthopaedic Surgery Physician
- Santa Rosa, CA
- NPI 1518907336
-
- Orthopaedic Surgery Physician
- Petaluma, CA
- NPI 1891450920
-
- Family Medicine Physician
- Albany, OR
- NPI 1740216498
Physician Assistant
-
- Orthopaedic Surgery Physician
- San Francisco, CA
- NPI 1386064145
-
- Orthopaedic Surgery Physician
- San Francisco, CA
- NPI 1720166051
-
- Primary Care Clinic/Center
- San Francisco, CA
- NPI 1588893275
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Danbury, CT
- NPI 1548293343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731283200000",
"number": "1871617142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 LAKEVILLE ST # 352",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949523329",
"telephone_number": "415-754-5584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 HOSPITAL AVE",
"city": "DANBURY",
"state": "CT",
"postal_code": "068106077",
"telephone_number": "203-739-7000"
}
],
"practiceLocations": [
{
"address_1": "911 Lakeville St # 352",
"address_purpose": "LOCATION",
"city": "Petaluma",
"state": "CA",
"postal_code": "949523329",
"country_code": "US",
"telephone_number": "415-754-5584",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAY",
"first_name": "NIRA",
"middle_name": "L.",
"name_prefix": "Ms.",
"credential": "MHS, PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2024-11-11",
"certification_date": "2024-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "6639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NIRA",
"last_name": "HINCKLE",
"middle_name": "L.",
"prefix": "MS.",
"credential": "MHS, PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.