Individual provider Active NPI

Jessica L. Gray, CRNP

  • Family Nurse Practitioner
  • Prince Frederick, MD
National Provider Identifier
1922453968
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R201616 Issued in MD
Practice address
110 Hospital Rd Ste 203
Prince Frederick, MD 20678-4045
Phone
(410) 535-4488
Fax
(443) 771-8114
NPI assigned
Apr 27, 2016
Last updated
Oct 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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 R201616 MD Primary

Addresses

Primary practice location

110 Hospital Rd Ste 203
Prince Frederick, MD 20678-4045

Mailing address

110 Hospital Rd Ste 203
Prince Frederick, MD 20678-4045
Phone (410) 535-4488

Other names 1

  • Jessica L. Foresta Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA, WV, DC, DE, NY6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20210216000084 MD Practitioner - Nurse Practitioner 2062701824 Reassigns benefits to 1 organization
I20230508000118 PA Practitioner - Nurse Practitioner 2062701824
I20230509001254 WV Practitioner - Nurse Practitioner 2062701824 Reassigns benefits to 1 organization
I20240704000493 DC Practitioner - Nurse Practitioner 2062701824 Reassigns benefits to 3 organizations
I20240821001275 DE Practitioner - Nurse Practitioner 2062701824 Reassigns benefits to 1 organization
I20240916000278 NY Practitioner - Nurse Practitioner 2062701824 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CRH MD Management LLCGroup PAC ID 2466841028, 70 clinicians

Practice addresses (Care Compare)

14421 Baltimore Ave
Laurel, MD 20707-4949
Phone (240) 786-6684

19825 Frederick Rd
Germantown, MD 20876-1309
Phone (240) 801-9944

821 Prince Frederick Blvd
Prince Frederick, MD 20678-3137
Phone (410) 535-8911

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urban Family Practice PC Family CurrentSince Sep 9, 2024 Accepting new patients
CRH MD Management LLC CurrentSince Jan 15, 2026 Accepting new patients
Signify Health, LLC CurrentSince Jul 9, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jul 8, 2024 Accepting new patients
Five Star Medical Office PC CurrentSince Sep 9, 2024 Accepting new patients
CRH MD Management, LLC CurrentSince Jan 15, 2026 Accepting new patients
Careathome Medical Practice Family CurrentSince Sep 9, 2024 Accepting new patients
Caringathome, LLC Family CurrentSince Aug 1, 2024 Accepting new patients
Discovery Academy PastSince Mar 7, 2021 Accepting new patients
Glenn G. Marinelli MD PA Past Accepting new patients
Perfect Health PC PastSince Jun 9, 2024 Accepting new patients

Locations

1015 15th St NW
Ste 1000
Washington, DC 20005
Phone (833) 815-2200

2300 N St NW
Ste 200
Washington, DC 20037
Phone (844) 401-4663

1209 N Orange St
Wilmington, DE 19801
Phone (800) 875-1575

590 Lanier Ave W
Fayetteville, GA 30214

14421 Baltimore Ave
Laurel, MD 20707
Phone (240) 786-6684

14421 Baltimore Ave
#12202
Laurel, MD 20707
Phone (240) 786-6684

821 Prince Frederick Blvd
Prince Frederick, MD 20678
Phone (410) 535-8911

11804 Reisterstown Rd
Reisterstown, MD 21136
Phone (410) 870-5094

11804 Reisterstown Rd
#12302
Reisterstown, MD 21136
Phone (410) 870-5094

14090 Hg Trueman Rd
Ste 1300
Solomons, MD 20688
Phone (410) 394-2800

564 Niagara St
Bldg 2
Buffalo, NY 14201
Phone (716) 324-5026

10407 Metropolitan Ave
Forest Hills, NY 11375
Phone (718) 576-4652

169 Madison Ave
Ste 2817
New York, NY 10016
Phone (917) 410-7931

169 Madison Ave
Ste 2829
New York, NY 10016

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

5680 King Centre Dr
Ste 600
Kingstowne, VA 22315
Phone (703) 201-8558

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1922453968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL RD STE 203",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784045",
            "telephone_number": "410-535-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL RD STE 203",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784045",
            "telephone_number": "410-535-4488",
            "fax_number": "443-771-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JESSICA",
        "middle_name": "L.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-27",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R201616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "FORESTA",
            "middle_name": "L.",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Prince Frederick, MD

Sources for this page

Verify at the official NPI Registry.