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

Shontel Marlena Ray, AGPCNP

Individual provider Adult Health Nurse Practitioner · NPI 1932593910

Shontel Marlena Ray, AGPCNP is a Nurse Practitioner in Elmwood Park, Illinois. Qualified in 2014, 12 years ago. Practices with Physician Groups Lc, a 524-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Missouri.

Years since qualifying
12
Licensed in
IL, MO
In the registry since
2015
Specialties on file
3

Practice location Address checks out

7234 W North Ave Ste 208
Elmwood Park, IL 60707-4202
Phone: (618) 746-0052
Fax: (618) 300-7060
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11133 Dunn Rd, Saint Louis, MO 63136-6163 — (314) 653-5643

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 277002617 (IL)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 2015001948 (MO)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 209013100 (IL)

Record details

NPI number1932593910
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP
Sole proprietorNo
NPI enumeratedMarch 26, 2015
Last updated in NPPESAugust 26, 2025
Certification dateAugust 26, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Physician Groups Lc — 524 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Elmwood Park