Jessica L. Gray, CRNP
Individual provider Active NPI Family Nurse Practitioner · Solomons, MD
NPI 1922453968 · NPPES record last updated Aug 5, 2021
Key facts
- NPI
- 1922453968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R201616 (MD)
- Practice address
- 14090 HG Trveman Road
Suite 2500
Solomons, MD 20688-3151 - Phone
- (410) 535-2005
- Fax
- (410) 535-4850
- NPI assigned
- Apr 27, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- CRH MD Management LLC
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (6 enrollments) in MD, PA, WV, DC, DE, NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urban Family Practice PC | Family | Current |
Accepting new patients |
| CRH MD Management LLC | Current |
Accepting new patients | |
| CRH MD Management, LLC | Current |
Accepting new patients | |
| Caringathome, LLC | Family | Current |
Accepting new patients |
| Careathome Medical Practice | Family | Current |
Accepting new patients |
| Signify Health, LLC | Current |
Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current |
Accepting new patients | |
| Five Star Medical Office PC | Current |
Accepting new patients | |
| Perfect Health PC | Past |
Accepting new patients | |
| Glenn G. Marinelli MD PA | Past | Accepting new patients | |
| Discovery Academy | Past |
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
#12202
Laurel, MD 20707
Phone (240) 786-6684
14421 Baltimore Ave
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R201616 | MD | Yes |
Addresses
Primary practice location
14090 HG Trveman Road
Suite 2500
Solomons, MD 20688-3151
Mailing address
3835 Secor Rd
Toledo, OH 43623-4402
Phone (419) 214-3266
Other names
- Jessica L. Foresta
Other providers in Solomons, MD
- Gerald Gaughan
- Sharon Denise Gaylord
- Laura Anne Glass
- Grace Care LLC
- Joyce Gradle
- Brianna Guaetta
- Patricia Gurny
- Hermitage Assisted Living LLC
- Audra A Howard
- Alicia Klaassen Hudson
All providers in Solomons, MD · Family Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.