Kristi Mae Wragg, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME170123 Issued in FL

Practice address

9251 SW Pinnacle PL
Port St Lucie, FL 34987-6107

Phone

(704) 302-7397

NPI assigned

Oct 4, 2013

Reactivated

Apr 4, 2018

Last updated

Oct 15, 2026By the provider in NPPES

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

Other identifiers 1

Other names 1

• Kristi Mae Theriault Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 8, 2023 through Mar 8, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Sunshine Psychiatry & Wellness, PLLC

  • Psychiatry Physician
  • Port St Lucie, FL
  • NPI 1376459453
  NPD (past) Authorized official
• Ferd and Gladys Alpert Jewish Family & Childrens SVC of PLM BCH

  • Clinical Social Worker
  • West Palm Beach, FL
  • NPI 1841297926
  NPD (past)

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1780011742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11582 SW VILLAGE PKWY",
            "address_2": "PMB 2026",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "34987",
            "telephone_number": "704-302-7397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9251 SW PINNACLE PL",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349876107",
            "telephone_number": "704-302-7397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRAGG",
        "first_name": "KRISTI",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-04",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "deactivation_date": "2018-03-29",
        "reactivation_date": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME170123",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2022-02242",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4144007",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTI",
            "last_name": "THERIAULT",
            "middle_name": "MAE",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Women's Healthcare of Port St Lucie LLC
• Audrey Wood
• Cheryl A Wood, LMFT
• Leonard Woods
• Quintin Woods
• Judith Wray, PHARM.D.
• Ameenah Wright-Troutman, MSW
• Chrisanna G Wright, LMHC,RD/LD
• David A Wright, RPH., CPH.
• Diane K Wright

• Psychiatry Physician in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.