Active NPI
Anna Gray, PA-C
- Physician Assistant
- Mentor, OH
National Provider Identifier
1932609161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.005448RX
- Practice address
- 7541 Mentor Ave Ste A103
Mentor, OH 44060-5431 - Phone
- (440) 457-1112
- NPI assigned
- Feb 14, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.005448RX | OH | Primary |
Addresses
Primary practice location
7541 Mentor Ave Ste A103
Mentor, OH 44060-5431
Mailing address
7541 Mentor Ave Ste A103
Mentor, OH 44060-5431
Phone (440) 457-1112
Other names 1
- Anna Robusto
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190226003258 | OH | Practitioner - Physician Assistant | 2961741590 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ally Mental Health Services LLC
Practice addresses (Care Compare)
7541 Mentor Ave
Suite A103
Mentor, OH 44060-5431
Phone (440) 457-1112
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- anna.gray@allymentalhs.medicity.net
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1932609161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7541 MENTOR AVE STE A103",
"city": "MENTOR",
"state": "OH",
"postal_code": "440605431",
"telephone_number": "440-457-1112",
"fax_number": "440-457-1112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7541 MENTOR AVE STE A103",
"city": "MENTOR",
"state": "OH",
"postal_code": "440605431",
"telephone_number": "440-457-1112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "ANNA",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-14",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.005448RX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNA",
"last_name": "ROBUSTO",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Mentor, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.