Individual provider Active NPI

Krystal McGrady, APRN CNP

  • Family Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1588352074
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0033208 Issued in OH
Practice address
1455 NW Leary Way Ste 400
Seattle, WA 98107-5138
Phone
(617) 505-1520
Fax
(617) 928-8401
NPI assigned
Apr 24, 2023
Last updated
May 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0033208 OH Primary
Family Nurse Practitioner 363LF0000X ARNP.AP.61491377-NP WA
Family Nurse Practitioner 363LF0000X 95034301 CA

Addresses

Primary practice location

1455 NW Leary Way Ste 400
Seattle, WA 98107-5138

Mailing address

109 State St Ste 5
Boston, MA 02109-2906
Phone (617) 505-1520

Other names 1

  • Krystal Gray Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WA, ID, MI, FL, IL, CA7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20230508000448 OH Practitioner - Nurse Practitioner 7517322928 Reassigns benefits to 1 organization
I20231103001018 WA Practitioner - Nurse Practitioner 7517322928 Reassigns benefits to 1 organization
I20231115002503 ID Practitioner - Nurse Practitioner 7517322928 Reassigns benefits to 1 organization
I20240116000229 MI Practitioner - Nurse Practitioner 7517322928 Reassigns benefits to 1 organization
I20240926004409 FL Practitioner - Nurse Practitioner 7517322928 Reassigns benefits to 1 organization
I20241002000712 IL Practitioner - Nurse Practitioner 7517322928 Reassigns benefits to 1 organization
I20250514002307 CA Practitioner - Nurse Practitioner 7517322928 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP.AP.61491377-NPWAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Healthcare of California CurrentSince May 6, 2025 Accepting new patients
Central Health Plan of California, Inc. CurrentSince May 6, 2025 Accepting new patients
Molina Healthcare of Washington, Inc CurrentSince Oct 23, 2023 Accepting new patients
Molina Healthcare of Washington, Inc Current Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

15 SW Everett Mall Way
Ste A
Everett, WA 98204
Phone (425) 348-6727

Interoperability endpoints

  • Direct secure messaging: kmcgrady14486@direct-prd.molinahealthcare.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1588352074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 STATE ST STE 5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021092906",
            "telephone_number": "617-505-1520",
            "fax_number": "617-928-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 NW LEARY WAY STE 400",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981075138",
            "telephone_number": "617-505-1520",
            "fax_number": "617-928-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRADY",
        "first_name": "KRYSTAL",
        "credential": "APRN CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0033208",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "ARNP.AP.61491377-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95034301",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTAL",
            "last_name": "GRAY",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.