Kaycie Raylynn Gilbreath, RN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209632 Issued in OK

Practice address

100 Ellis Avenue
Boise City, OK 73933

Phone

(580) 544-2501

Fax

(580) 544-3066

NPI assigned

Jul 29, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Moore County Hospital DistrictGroup PAC ID 1254226269, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital Hospital, Dumas, TX, CCN 451386
• Coon Memorial Hospital Hospital, Dalhart, TX, CCN 451331

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Moore County Hospital District

  • Critical Access Hospital
  • Dumas, TX
  • NPI 1700991700
  Medicare reassignment Care Compare group NPD
• Dallam-Hartley Counties Hospital District

  • Critical Access Hospital
  • Dalhart, TX
  • NPI 1245353747
  Medicare reassignment NPD
• Dallam-Hartley Counties Hospital District

  • Rural Health Clinic/Center
  • Dalhart, TX
  • NPI 1467799262
  NPD
• Dallam-Hartley Counties Hospital District

  • Land Ambulance
  • Dalhart, TX
  • NPI 1689032856
  NPD
• Moore County Hospital District

  • Rural Health Clinic/Center
  • Dumas, TX
  • NPI 1336537661
  NPD

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

• Dallam-Hartley Counties Hospital District

  • Critical Access Hospital
  • Dalhart, TX
  • NPI 1639176456
  Care Compare affiliation
• Moore County Hospital District

  • Critical Access Hospital
  • Dumas, TX
  • NPI 1700991700
  Care Compare affiliation

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1386370500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MAIN ST",
            "city": "CLAYTON",
            "state": "NM",
            "postal_code": "884152917",
            "telephone_number": "575-639-4592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ELLIS AVENUE",
            "city": "BOISE CITY",
            "state": "OK",
            "postal_code": "73933",
            "telephone_number": "580-544-2501",
            "fax_number": "580-544-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBREATH",
        "first_name": "KAYCIE",
        "middle_name": "RAYLYNN",
        "credential": "RN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "RN-82110",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "209632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cimarron Memorial Hospital and Nursing Home
• Cimarron Memorial Hospital and Nursing Home
• Cimarron Memorial Hospital and Nursing Home
• Cimarron Memorial Hospital and Nursing Home
• Kenan Leroy Denten, DOCTOR OF PHARMACY
• Tiffany Gleason, CSW
• Hooker Pharmacy PLLC
• Hopeful Oasis Counseling Services LLC
• Amberley Neel, LD
• Jimmy Weaver, RPH

• Family Nurse Practitioner in Boise City, OK
• Providers in Boise City, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.