BROOK NICOLE RAY PA-C
NPI 1669135315
Physician Assistant in Columbus, OH

Active since October 20, 2021Opted out of Medicare · through Aug 28, 2027
100 E CAMPUS VIEW BLVD STE 250, COLUMBUS, OH 43235(614) 344-7547(614) 344-7547 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 6, 2025, Oct 18, 2023, Oct 20, 2021 (3 updates tracked since 2021).

About Brook Nicole Ray Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOK NICOLE RAY PA-C (NPI 1669135315) is an individual physician assistant in Columbus, Ohio, licensed in Ohio (50.007201RX) and active in the NPI registry since October 2021. She has opted out of Medicare through August 28, 2027.

NPPES Registry Identity

NPI1669135315
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBROOK NICOLE RAYCredential: PA-C
Location Address100 E CAMPUS VIEW BLVD STE 250Columbus, OH 43235-4682
Mailing Address100 E Campus View Blvd Ste 250Columbus, OH 43235-4682
Fax(614) 344-7547
Sole ProprietorNo
Enumeration DateOctober 20, 2021
Last NPPES UpdateNovember 6, 20253 updates tracked since enumeration
NPPES CertifiedNovember 6, 2025
NPI 1669135315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OH · 50.007201RX
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
100 E CAMPUS VIEW BLVD STE 250, Columbus, OH 43235

Other Names 1

Former Name (1)Brook Nicole Blake

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Brook Nicole Ray Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 28, 2023 through August 28, 2027.

Opt-Out Effective DateAugust 28, 2023
Opt-Out In Effect ThroughAugust 28, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

In Home Supportive Care
100 E CAMPUS VIEW BLVD STE 250
COLUMBUS, OH 43235
Psychiatry & Neurology (Clinical Neurophysiology)
100 E CAMPUS VIEW BLVD STE 250
COLUMBUS, OH 43235
Social Worker
100 E CAMPUS VIEW BLVD STE 250
COLUMBUS, OH 43235
Counselor (Professional)
100 E CAMPUS VIEW BLVD STE 250
COLUMBUS, OH 43235
Physician Assistant
100 E CAMPUS VIEW BLVD STE 250
COLUMBUS, OH 43235
Counselor (Mental Health)
100 E CAMPUS VIEW BLVD STE 250
COLUMBUS, OH 43235
Social Worker (Clinical)
100 E CAMPUS VIEW BLVD STE 250
COLUMBUS, OH 43235
Contractor
100 E CAMPUS VIEW BLVD STE 250
COLUMBUS, OH 43235

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brook Ray's NPI number?

The NPI number for Brook Ray is 1669135315. It was assigned to this individual provider in the NPPES registry on October 20, 2021. The provider is also known as Brook Nicole Blake.

Where is Brook Ray located?

Brook Ray practices at 100 E Campus View Blvd Ste 250, Columbus, OH 43235. The listed phone number is (614) 344-7547.

What is Brook Ray's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brook Ray enrolled in Medicare?

No. Brook Ray has opted out of Medicare through August 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Brook Ray accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 2 other insurers list Brook Ray as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brook Ray was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.