Individual provider Active NPI

Roni S. Gray, APRN

  • Family Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1952445702
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
110805 Issued in NE
Practice address
4220 L St
Omaha, NE 68107
Phone
(402) 733-4433
Fax
(402) 733-1220
NPI assigned
Feb 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 110805 NE Primary
Nurse Practitioner 363L00000X 110805 NE

Addresses

Primary practice location

4220 L St
Omaha, NE 68107

Mailing address

7261 Mercy Rd
Omaha, NE 68124-2311
Phone (402) 733-4433

Other practice location 1

720 N 87th St
Omaha, NE 68114-2852
Phone (402) 354-7210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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

Enrollment IDStateProvider typePAC IDDetails
I20111205000036 NE Practitioner - Nurse Practitioner 1759556632 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Creighton University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Think Aksarben LLCGroup PAC ID 9638394505, 77 clinicians

Practice addresses (Care Compare)

7100 W Ctr Rd
Omaha, NE 68106-2714
Phone (402) 506-9000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
110805NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Think Aksarben, LLC CurrentSince Jul 21, 2025 Accepting new patients
Unmc Physicians CurrentSince Jul 1, 2025 Accepting new patients
Physicians Clinic Inc Nurse Practitioner Past Accepting new patients
Alegent Health Quick Care LLC Nurse Practitioner Past Accepting new patients
Alegent Creighton Clinic PastSince Aug 1, 2019 Accepting new patients
Alegent Creighton Clinic Past Accepting new patients

Locations

7100 W Center Rd
Omaha, NE 68106
Phone (402) 506-9000

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

17841 Pierce Plz
Omaha, NE 68130
Phone (402) 991-7000

Interoperability endpoints

  • Direct secure messaging: rgray122389@direct.nebraskamed.com
  • Direct secure messaging: ronigray@thinkaks.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1952445702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 MERCY RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242311",
            "telephone_number": "402-733-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 L ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68107",
            "telephone_number": "402-733-4433",
            "fax_number": "402-733-1220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 N 87th St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681142852",
            "country_code": "US",
            "telephone_number": "402-354-7210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "RONI",
        "middle_name": "S.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "110805",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "110805",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.