Angela Jo Gray, FNP - Medicare Nurse Practitioner in Peoria, IL

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Angela Jo Gray, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Peoria, Illinois. Her current practice location is 530 Ne Glen Oak Ave, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 655-2000.

Angela Jo Gray is licensed to practice in Illinois (license number 209022716) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1952027518.

Contact Information

Angela Jo Gray, FNP
530 Ne Glen Oak Ave,
Peoria, IL 61637-0001
(309) 655-2000
Not Available

Map and Direction




Physician's Profile

Full NameAngela Jo Gray
GenderFemale
SpecialityNurse Practitioner - Family
Location530 Ne Glen Oak Ave, Peoria, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952027518
  • Provider Enumeration Date: 10/17/2022
  • Last Update Date: 06/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3476995556
  • Enrollment ID: I20240521001391

Medical Identifiers

Medical identifiers for Angela Jo Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952027518NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207VC0300XObstetrics & Gynecology - Complex Family Planning 1205242120 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 209022716 (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Angela Jo Gray allows following entities to bill medicare on her behalf.
Entity NameCentral Illinois Radiological Associates Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538192828
PECOS PAC ID: 9436061827
Enrollment ID: O20031104000332
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angela Jo Gray is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Angela Jo Gray, FNP
111 Oakwood Rd,
East Peoria, IL 61611-1853

Ph: (309) 740-4272		Angela Jo Gray, FNP
530 Ne Glen Oak Ave,
Peoria, IL 61637-0001

Ph: (309) 655-2000

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.