Individual provider Active NPI

Angela R Gray, FNP

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1972996445
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.17142 Issued in OH
Practice address
3525 Olentangy River Rd Ste 4330
Columbus, OH 43214-3937
Phone
(614) 255-6900
Fax
(614) 255-6901
NPI assigned
Mar 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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 APRN.CNP.17142 OH Primary

Addresses

Primary practice location

3525 Olentangy River Rd Ste 4330
Columbus, OH 43214-3937

Mailing address

2460 Asbury Chapel Rd
Zanesville, OH 43701-9339
Phone (740) 787-2052

Other practice location 1

101 W Dave Longaberger Ave Ste A
Dresden, OH 43821-9490
Phone (740) 565-4103

Other identifiers 1

IdentifierTypeStateIssuer
0120713MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150407001748 OH Practitioner - Nurse Practitioner 8022336833 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Ohio Hospitalists, IncGroup PAC ID 7810985686, 194 clinicians
Pai Participant 1 LLCGroup PAC ID 8123351954, 174 clinicians
Medone Wound Care LLCGroup PAC ID 0840727517, 6 clinicians

Practice addresses (Care Compare)

1126 Adair Ave
Zanesville, OH 43701-2804
Phone (614) 255-6900

1136 Adair Ave
Zanesville, OH 43701-2804
Phone (614) 255-6900

1575 Bowers LN
Zanesville, OH 43701-1000
Phone (740) 450-9999

230 Cherry St
Chillicothe, OH 45601-2301
Phone (740) 773-6470

3525 Olentangy River Rd
Suite 4330
Columbus, OH 43214-3937
Phone (614) 255-6930

3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone (614) 566-5000

4212 Northpointe Dr
Zanesville, OH 43701-5970
Phone (614) 255-6900

48241 Genesis Dr
Coshocton, OH 43812-1002
Phone (614) 255-6900

Hospital & facility affiliations

  • Genesis Home Care Home health agency, Zanesville, OH, CCN 367114
  • Interim Healthcare of Cambridge Home health agency, Zanesville, OH, CCN 367324
  • Hospice of Central Ohio Hospice, Newark, OH, CCN 361525
  • Genesis Hospital Hospital, Zanesville, OH, CCN 360039

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medone Wound Care LLC CurrentSince Dec 8, 2024 Accepting new patients
Vpa PC CurrentSince Jun 5, 2018 Accepting new patients
Vpa PC Current Accepting new patients
Central Ohio Hospitalists, Inc CurrentSince Apr 1, 2020 Accepting new patients
Vpa PC CurrentSince Jun 5, 2018 Accepting new patients
Pai Participant 1 LLC CurrentSince Oct 18, 2022 Accepting new patients
Priority Medical Family Practice, LLC CurrentSince Feb 1, 2023 Accepting new patients

Locations

44565 Sunset Rd
Caldwell, OH 43724
Phone (740) 732-2364

6725 Thrush Dr
Canal Wnchstr, OH 43110
Phone (614) 834-2500

230 Cherry St
Chillicothe, OH 45601
Phone (740) 773-6470

355 E Campus View Blvd
Ste 180
Columbus, OH 43235
Phone (614) 523-2155

1087 Dennison Ave
Columbus, OH 43201
Phone (614) 458-9000

3525 Olentangy River Rd
Ste 4330
Columbus, OH 43214
Phone (614) 255-6930

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

2270 Warrensburg Rd
Delaware, OH 43015
Phone (740) 272-7150

730 Millcrest Dr
Marysville, OH 43040
Phone (937) 642-1026

856 S Riverside Dr NE
McConnelsville, OH 43756
Phone (740) 592-6900

4114 N State Route 376 NW
McConnelsville, OH 43756
Phone (740) 212-8366

920 S Main St
New Lexington, OH 43764
Phone (740) 342-5161

5100 W Broad St
New Rome, OH 43228
Phone (614) 544-1000

1600 Saint Paris Pike
Springfield, OH 45504
Phone (937) 399-8131

375 W Main St
West Jefferson, OH 43162
Phone (614) 879-7604

1128 Linden Ave
Zanesville, OH 43701
Phone (740) 255-4008

1136 Adair Ave
Zanesville, OH 43701
Phone (740) 454-6823

1856 Adams Ln
Zanesville, OH 43701
Phone (216) 772-3192

1020 Taylor St
Zanesville, OH 43701
Phone (740) 454-9747

4200 Harrington Dr
Zanesville, OH 43701
Phone (740) 452-4351

Organizations & group practices 7

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1972996445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 ASBURY CHAPEL RD",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437019339",
            "telephone_number": "740-787-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 OLENTANGY RIVER RD STE 4330",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143937",
            "telephone_number": "614-255-6900",
            "fax_number": "614-255-6901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 W Dave Longaberger Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Dresden",
            "state": "OH",
            "postal_code": "438219490",
            "country_code": "US",
            "telephone_number": "740-565-4103",
            "fax_number": "740-565-4293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "ANGELA",
        "middle_name": "R",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-09",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.17142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0120713",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.