Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Michael Ray, AGACNP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1194504175

Andrew Michael Ray, AGACNP-BC is a Nurse Practitioner in Wilmington, North Carolina. Qualified in 2023, 3 years ago. Practices with Novant Health Medical Group Coastal Region LLC, a 576-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
In the registry since
2023
Specialties on file
4
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Practice location Address checks out

2131 S 17th St
Wilmington, NC 28401-7407
Phone: (910) 667-2606
Fax: (910) 815-5698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1347 Element Way Apt 4202, Wilmington, NC 28412-1618 — (304) 712-0111

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5019050 (NC)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 5019050 (NC)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 5019050 (NC)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 5019050 (NC)

Record details

NPI number1194504175
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC
Sole proprietorYes
NPI enumeratedSeptember 27, 2023
Last updated in NPPESMay 28, 2024
Certification dateMay 28, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Novant Health Medical Group Coastal Region Llc — 576 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wilmington