Individual provider Active NPI

Kristen Monique Conley

  • Nurse Practitioner
  • Gainesville, FL
National Provider Identifier
1669330650
Registry record updated Jan 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11041790 Issued in FL
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

Updated by the provider on Jan 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PAGroup PAC ID 2466356688, 3 clinicians

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 Hospital, Gainesville, FL, CCN 100204

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11041790FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Neurosurgical Associates PA CurrentSince Jan 14, 2026 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

  • FHIR API: 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.

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.