SAMANTHA M GRAY (FNP-C) – Family Nurse Practitioner, NPI 1124370010
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,273 NURSE PRACTITIONER in DE
Provider Addresses for SAMANTHA M GRAY (FNP-C)
86 Omega Dr Ste 86
Newark, DE 197132065
Phone: (302) 738-5500
Fax: (302) 738-9449
Type: Location
405 Silverside Rd Ste 111
Wilmington, DE 198091768
Phone: (302) 798-0666
Fax: (302) 798-2401
Type: Location
405 SILVERSIDE RD
SUITE 111
WILMINGTON, DE 198091774
Phone: (302) 798-0666
Fax: (302) 798-2401
Type: Mailing
2600 GLASGOW AVE
SUITE 124
NEWARK, DE 197024773
Phone: (302) 836-4200
Fax: (302) 836-8431
Type: Location
405 SILVERSIDE RD STE 111
WILMINGTON, DE 198091768
Phone: (302) 798-0666
Fax: (302) 798-2401
Type: Mailing
2600 GLASGOW AVE STE 124
NEWARK, DE 197024777
Phone: (302) 836-4200
Fax: (302) 836-8431
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 195 Open Payments records for all available years, with a total value of $3,852.
Total Amount is formed as General ($3,852) + Research ($0) + Ownership ($0) = $3,852.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($535).
Total Amount
$3,852
General + Research + Ownership
Payments
195
Total payment records
General Amount
$3,852
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $535 |
| ABBVIE INC. | $392 |
| GlaxoSmithKline, LLC. | $358 |
| Novo Nordisk Inc | $279 |
| Lilly USA, LLC | $265 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-11-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121116000150 | I | Nurse Practitioner | DE | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 640 | 315 | $0 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 160 | 160 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 125 | 120 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 94 | 94 | $0 |
| G0008 | Administration of influenza virus vaccine | 74 | 73 | $0 |
Insurance plans in this area (ZIP 19713)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | DE | |
| - | DE | |
| Internal Medicine | DE | |
| Family Practice | DE | |
| Nurse Practitioner | DE | |
| Nurse Practitioner | DE | |
| Nurse Practitioner | DE | |
| Internal Medicine | DE | |
| Internal Medicine | DE |
Reviews
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