Active NPI
Kristen Monique Conley
- Nurse Practitioner
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11041790
- Practice address
- 6440 W Newberry Rd Ste 409
Gainesville, FL 32605-4370 - Phone
- (352) 332-0030
- NPI assigned
- Jan 10, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11041790 | FL | Primary |
Addresses
Primary practice location
6440 W Newberry Rd Ste 409
Gainesville, FL 32605-4370
Mailing address
97646 Bluff View Cir
Yulee, FL 32097-1923
Phone (904) 349-3401
Other names 1
- Kristen Monique Conley-Holder
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260213001247 | FL | Practitioner - Nurse Practitioner | 9436639069 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Florida Neurosurgical Associates PA
Practice addresses (Care Compare)
6440 W Newberry Rd
Suite 401
Gainesville, FL 32605-4325
Phone (352) 332-0030
Hospital & facility affiliations
- HCA Florida North Florida Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11041790 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Neurosurgical Associates PA | Current | Accepting new patients |
Locations
6440 W Newberry Rd
Ste 401
Gainesville, FL 32605
Phone (352) 332-0030
6440 W Newberry Rd
Ste 409
Gainesville, FL 32605
Phone (352) 333-6161
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10021331
Organizations & group practices 1
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.
-
- Neurological Surgery Physician
- Gainesville, FL
- NPI 1639392004
FL
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gainesville, FL
- NPI 1174579155
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768003200000",
"number": "1669330650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97646 BLUFF VIEW CIR",
"city": "YULEE",
"state": "FL",
"postal_code": "320971923",
"telephone_number": "904-349-3401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6440 W NEWBERRY RD STE 409",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054370",
"telephone_number": "352-332-0030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLEY",
"first_name": "KRISTEN",
"middle_name": "MONIQUE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-10",
"last_updated": "2026-01-10",
"certification_date": "2026-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11041790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "CONLEY-HOLDER",
"middle_name": "MONIQUE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2026; 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.