AYANNA NATASHA GRAY-BOLDEN (CRNP) – Women's Health Nurse Practitioner, NPI 1831456888

AYANNA NATASHA GRAY-BOLDEN (CRNP) is a healthcare provider. based in Newark, Delaware. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. LG-0011631 (DE). The NPI Number for AYANNA NATASHA GRAY-BOLDEN (CRNP) is 1831456888

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
AYANNA NATASHA GRAY-BOLDEN (CRNP)
NPI
1831456888
Phone
(302) 319-5680
Address
1 CENTURIAN DR STE 312
Enumeration Date
16 April 2012
Last Update Date
1 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3023195680
Graduation Year
2010 (16 years ago)
PAC ID
3375707631
Group Practice PAC ID
6204923477
Professional Enrollment ID
I20210702000503
Address ID
DE197132127NE1XXXXDRXX379
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:14State licenses:2Digital endpointsOther names

1,274 NURSE PRACTITIONER in DE

Provider Addresses for AYANNA NATASHA GRAY-BOLDEN (CRNP)

  • 1 CENTURIAN DR STE 312

    NEWARK, DE 197132127

    Phone: (302) 319-5680

    Fax: (302) 319-5681

    Type: Mailing

  • 3400 SPRUCE ST

    7 SILVERSTEIN

    PHILADELPHIA, PA 191044206

    Phone: (215) 662-6035

    Fax: (215) 349-5228

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-07-02

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210702000503INurse PractitionerDETBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19713)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204923477View full group profile
NameSpecialtyState
Nurse PractitionerDE
O B S T E T R I C S/ G Y N E C O L O G YDE
-DE
O B S T E T R I C S/ G Y N E C O L O G YDE
Nurse PractitionerPA
O B S T E T R I C S/ G Y N E C O L O G YDE
O B S T E T R I C S/ G Y N E C O L O G YDE
Nurse PractitionerPA
-DE
O B S T E T R I C S/ G Y N E C O L O G YTX

Reviews

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Frequently asked questions

How do I look up AYANNA NATASHA GRAY-BOLDEN (CRNP) by NPI?
Use NPI 1831456888 when you need to reference AYANNA NATASHA GRAY-BOLDEN (CRNP) in forms, claims, or directories.
Is AYANNA NATASHA GRAY-BOLDEN (CRNP)'s NPI currently valid?
The extract we use shows AYANNA NATASHA GRAY-BOLDEN (CRNP) as active.
Does AYANNA NATASHA GRAY-BOLDEN (CRNP) list a primary specialty?
If you are matching referrals, note Women's Health Nurse Practitioner for AYANNA NATASHA GRAY-BOLDEN (CRNP). Clinical services aligned with this taxonomy classification.
Where is AYANNA NATASHA GRAY-BOLDEN (CRNP)'s primary listing?
We display Newark, Delaware because that is what the record indicates for AYANNA NATASHA GRAY-BOLDEN (CRNP).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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