JESSICA RYAN RAY (APRN) – Family Nurse Practitioner, NPI 1104552793

JESSICA RYAN RAY (APRN) is a healthcare provider. based in Gainesville, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 11020889 (FL). The NPI Number for JESSICA RYAN RAY (APRN) is 1104552793

Main info

Female
Sole Proprietor
4 Years Of Experience
Name
JESSICA RYAN RAY (APRN)
NPI
1104552793
Phone
(352) 273-7002
Address
1600 SW Archer Rd
Enumeration Date
27 July 2022
Last Update Date
25 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2022 (4 years ago)
PAC ID
2567844954
Group Practice PAC ID
3678604840
Professional Enrollment ID
I20220802000590
Address ID
FL326661099MePOXXXBOXX201
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for JESSICA RYAN RAY (APRN)

  • 1600 SW Archer Rd

    Gainesville, FL 326104144

    Phone: (352) 273-7002

    Type: Location

  • 16506 NW 205TH ST

    HIGH SPRINGS, FL 326438167

    Phone: (352) 949-5778

    Type: Mailing

  • 3450 HULL RD

    GAINESVILLE, FL 326074144

    Phone: (352) 646-2986

    Type: Location

  • PO BOX 112727

    GAINESVILLE, FL 326112727

    Phone: (352) 273-7002

    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: 2022-08-02

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
I20220802000590INurse PractitionerFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes122107$0
99203New patient office or other outpatient visit, 30-44 minutes9797$0
99204New patient office or other outpatient visit, 45-59 minutes3737$0
99214Established patient office or other outpatient visit, 30-39 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 32610)

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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: 3678604840View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Orthopedic SurgeryFL
R H E U M A T O L O G YFL
Physician AssistantFL
Nurse PractitionerFL
Physician AssistantFL
Orthopedic SurgeryFL
Orthopedic Surgery, Sports MedicineFL
Nurse PractitionerRI
Sports Medicine, Family PracticeFL

Reviews

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Frequently asked questions

What federal number belongs to JESSICA RYAN RAY (APRN)?
The federal identifier for JESSICA RYAN RAY (APRN) is NPI 1104552793.
Is JESSICA RYAN RAY (APRN) currently active in the NPI registry?
CMS-published data lists JESSICA RYAN RAY (APRN) as an active registrant.
What kind of provider is JESSICA RYAN RAY (APRN)?
The page reflects Family Nurse Practitioner for JESSICA RYAN RAY (APRN). Clinical services aligned with this taxonomy classification.
What location metadata exists for JESSICA RYAN RAY (APRN)?
The page summarizes Gainesville, Florida for JESSICA RYAN RAY (APRN); expand the address list for detail.
What if Gainesville, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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