Amalia Gray, CNM, RN - Medicare Nurse Practitioner in Santa Rosa, CA

  1. Home
  2. Nurse Practitioner
  3. CA
  4. Santa Rosa
Amalia Gray, CNM, RN is a medicare enrolled "Nurse Practitioner - Obstetrics & Gynecology" in Santa Rosa, California. Her current practice location is 1111 Sonoma Ave Ste 202, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at (808) 652-6744.

Amalia Gray is licensed to practice in California (license number 235941) 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 1326344268.

Contact Information

Amalia Gray, CNM, RN
1111 Sonoma Ave Ste 202,
Santa Rosa, CA 95405-4813
(808) 652-6744
(707) 575-3941

Map and Direction




Provider's Profile

Full NameAmalia Gray
GenderFemale
SpecialityNurse Practitioner - Obstetrics & Gynecology
Location1111 Sonoma Ave Ste 202, Santa Rosa, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326344268
  • Provider Enumeration Date: 02/09/2011
  • Last Update Date: 01/09/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5698036663
  • Enrollment ID: I20180308001024

Medical Identifiers

Medical identifiers for Amalia Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326344268NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 66490 (Hawaii)Secondary
225700000XMassage Therapist 7772 (Hawaii)Secondary
363LX0001XNurse Practitioner - Obstetrics & Gynecology 2322 (Hawaii)Secondary
363LX0001XNurse Practitioner - Obstetrics & Gynecology 235941 (California)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. Amalia Gray allows following entities to bill medicare on her behalf.
Entity NameProvidence Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346

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. Amalia 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
Amalia Gray, CNM, RN
1111 Sonoma Ave Ste 202,
Santa Rosa, CA 95405-4813

Ph: (808) 575-1626		Amalia Gray, CNM, RN
1111 Sonoma Ave Ste 202,
Santa Rosa, CA 95405-4813

Ph: (808) 652-6744

Reviews and Comments


Nurse Practitioner Nurses in Santa Rosa, CA

Peggy Walsh Goebel,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 50 Montgomery Dr, Santa Rosa, CA 95404
Phone: 707-585-7780    Fax: 707-585-7784
Julie Barlow, N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1165 Montgomery Dr, Santa Rosa, CA 95405
Phone: 707-525-5207    
Suzanne Watts Dedmore, RN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1110 N Dutton Ave, Santa Rosa, CA 95401
Phone: 707-303-3600    
Amada Ligia Gomez, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1989 Citrine Way, Santa Rosa, CA 95404
Phone: 786-385-4492    
Genesis Callejas-mir, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1501 Mendocino Ave, Santa Rosa, CA 95401
Phone: 707-527-4445    
Felipa Jones, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3317 Chanate Rd, Suite 2c, Santa Rosa, CA 95404
Phone: 707-570-1130    Fax: 707-571-2478
Cynthia R. Ingels, MSN,N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 500 Doyle Park Dr, Suite 103, Santa Rosa, CA 95405
Phone: 707-579-1102    

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.