Katelyn Elizabeth Gray, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11031841 Issued in FL

Practice address

129 E Redstone Ave Ste a
Crestview, FL 32539-5350

Phone

(850) 682-7212

NPI assigned

Aug 29, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Okaloosa Cardiology PAGroup PAC ID 7315920899, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Twin Cities Hospital Hospital, Niceville, FL, CCN 100054
• North Okaloosa Medical Center Hospital, Crestview, FL, CCN 100122
• HCA Florida Fort Walton-Destin Hospital Hospital, Fort Walton Beach, FL, CCN 100223
• Baptist Hospital Hospital, Pensacola, FL, CCN 100093

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0009543

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Okaloosa Cardiology P a

  • Cardiovascular Disease Physician
  • Crestview, FL
  • NPI 1144270240
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Health Care, Inc

  • General Acute Care Hospital
  • Pensacola, FL
  • NPI 1700979465
  Care Compare affiliation
• Crestview Hospital Company, LLC

  • General Acute Care Hospital
  • Crestview, FL
  • NPI 1104897859
  Care Compare affiliation
• Fort Walton Beach Medical Center, Inc.

  • General Acute Care Hospital
  • Ft Walton Beach, FL
  • NPI 1639128820
  Care Compare affiliation
• Okaloosa Hospital Inc

  • General Acute Care Hospital
  • Niceville, FL
  • NPI 1891732988
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1053145243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 TEE ST",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325783019",
            "telephone_number": "817-456-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 E REDSTONE AVE STE A",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395350",
            "telephone_number": "850-682-7212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "552 Twin Cities Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Niceville",
            "state": "FL",
            "postal_code": "325781059",
            "country_code": "US",
            "telephone_number": "850-279-4426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1032 Mar Walt Dr Unit 110",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325476661",
            "country_code": "US",
            "telephone_number": "850-862-1753",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36468 Emerald Coast Pkwy Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Destin",
            "state": "FL",
            "postal_code": "325414799",
            "country_code": "US",
            "telephone_number": "850-424-5638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "KATELYN",
        "middle_name": "ELIZABETH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-29",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11031841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Gordon
• Nikki Windham Grace, ARNP
• Jensen Gramling
• Carrie Ragan Graves
• Julie Ann Gray
• Kellye D Gray, PT
• Molly Arden Gray, DPT
• Shanderico Gray
• Great Gains Behavioral Solutions LLC
• Desiray Lavon Greer

• Nurse Practitioner in Crestview, FL
• Providers in Crestview, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.