Active NPI
Adelaida Gray, ARNP
- Nurse Practitioner
- Fort Myers, FL
National Provider Identifier
1063447993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP2951012
- Practice address
- 12751 Westlinks Dr
Fort Myers, FL 33913-8615 - Phone
- (239) 744-2300
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP2951012 | FL | |
| Nurse Practitioner | 363L00000X | ARNP2951012 | FL | Primary |
Addresses
Primary practice location
12751 Westlinks Dr
Fort Myers, FL 33913-8615
Mailing address
12751 Westlinks Dr
Fort Myers, FL 33913-8615
Phone (239) 744-2300
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01318679 | Other | FL | RR MEDICARE |
| P114547 | Other | FL | FREEDOM |
| 308158300 | Medicaid | FL | |
| 9279891 | Other | FL | AETNA |
| P954066 | Other | FL | OPTIMUM |
| 398577 | Other | FL | AVMED |
| Y114U | Other | FL | BCBS OF FL |
| 1249034 | Other | FL | WELLCARE |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
909 SE 47TH Ter
Cape Coral, FL 33904-9000
Phone (239) 292-7720
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Memorial Health System | Past | Accepting new patients | |
| Genesiscare USA of Florida LLC | Past | Accepting new patients | |
| Siegel, Hannan, & Tolep M.D.P.a | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Nurse Practitioner
- Cape Coral, FL
- NPI 1285257477
-
- Urology Physician
- Venice, FL
- NPI 1316127152
-
- Federally Qualified Health Center (FQHC)
- Port Charlotte, FL
- NPI 1255171765
-
- Pulmonary Disease Physician
- Fort Myers, FL
- NPI 1255436440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760572800000",
"number": "1063447993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12751 WESTLINKS DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339138615",
"telephone_number": "239-744-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12751 WESTLINKS DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339138615",
"telephone_number": "239-744-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "ADELAIDA",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP2951012",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP2951012",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01318679",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FREEDOM",
"identifier": "P114547",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "308158300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9279891",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMUM",
"identifier": "P954066",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "398577",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL",
"identifier": "Y114U",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "1249034",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.