Active NPI
Kelli Charlene McCray, APRN
- Family Nurse Practitioner
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11027047
- Practice address
- 1839 Central Avenue
St Petersburg, FL 33713-8900 - Phone
- (727) 322-1054
- Fax
- (727) 821-7213
- NPI assigned
- Aug 27, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5020223 | NC | |
| Family Nurse Practitioner | 363LF0000X | APRNCNP.0035472 | OH | |
| Family Nurse Practitioner | 363LF0000X | APRN11027047 | FL | Primary |
Addresses
Primary practice location
1839 Central Avenue
St Petersburg, FL 33713-8900
Mailing address
1839 Central Avenue
St Petersburg, FL 33713-8900
Phone (727) 322-1054
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118617400 | Medicaid | FL |
Other names 1
- Kelli C McCray
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, OH, NC, IN, MI, DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
115 N Portland St
Chesterville, OH 43317-5006
Phone (844) 210-6186
1987 Hilton Rd
Burlington, NC 27217-2968
Phone (540) 814-5344
214 Lanefield Rd
Warsaw, NC 28398-8719
Phone (844) 210-6186
300 Blake Blvd
Pinehurst, NC 28374-8474
Phone (248) 660-1220
6547 Kenava Loop
Palmetto, FL 34221-2595
Phone (941) 218-0175
6817 Southpoint Pkwy
Suite 203
Jacksonville, FL 32216-6286
Phone (904) 231-1204
9035 Bryan Dairy Rd
Largo, FL 33777-1104
Phone (732) 719-5039
Hospital & facility affiliations
- Pinnacle Home Care
- Pinnacle Home Care
- Haven Home Health Care
- Pinnacle Home Care Inc
- Pinnacle Home Care of Spring Hill Inc
- Life Care Center of Pensacola
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11027047 | FL | MD | Family Nurse Practitioner |
| APRNCNP.0035472 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southland Behavioral Health Services LLC | Current | Accepting new patients | |
| Theoria Medical | Current | Accepting new patients | |
| Mana Health Partners PA | Current | Accepting new patients | |
| Vitalcare Health Services PC | Current | Accepting new patients | |
| Vitalcare Medical Services PA | Current | Accepting new patients | |
| Professional Health Care of Pinellas LLC | Current | Accepting new patients | |
| CG Medical Associates Inc | Current | Accepting new patients | |
| Cardiac Vision LLC | Current | Accepting new patients | |
| Quantum Practitioner Services LLC | Family | Current | Accepting new patients |
| Professional Health Care of Pinellas Inc. | Current | Accepting new patients | |
| Theoria Medical | Past | Accepting new patients |
Locations
7807 Baymeadows Rd E
Ste 209
Jacksonville, FL 32256
Phone (904) 231-1204
6817 Southpoint Pkwy
Ste 203
Jacksonville, FL 32216
Phone (904) 256-9202
991 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 994-8809
1507 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 366-0336
9035 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 395-9520
1839 Central Ave
St Petersburg, FL 33713
Phone (727) 322-1054
29910 State Road 56
Wesley Chapel, FL 33543
Phone (813) 333-0000
6336 Fort King Rd
Zephyrhills, FL 33542
Phone (813) 640-0060
155 E Burks Dr
Bloomington, IN 47401
Phone (812) 322-4437
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
1070 Old Ocean Hwy
Bolivia, NC 28422
Phone (910) 755-5955
411 S Lasalle St
Durham, NC 27705
Phone (919) 383-5521
430 W Health Center Dr
Nags Head, NC 27959
Phone (252) 441-3116
300 Blake Blvd
Pinehurst, NC 28374
Phone (910) 215-5710
237 Tryon Rd
Rutherfordton, NC 28139
Phone (828) 286-7200
214 Lanefield Rd
Warsaw, NC 28398
Phone (910) 293-3144
5725 Carolina Beach Rd
Wilmington, NC 28412
Phone (910) 782-1455
338 Whitesville Rd
Ste 103
Jackson, NJ 08527
7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100
3290 Village Dr
Middletown, OH 45005
Phone (513) 422-7703
519 S Breiel Blvd
Middletown, OH 45044
Phone (513) 433-1288
3742 W 2150 N
Ste 150
Lehi, UT 84048
Phone (385) 205-6486
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EIJHAA
Organizations & group practices 15
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.
-
- Cardiovascular Disease Physician
- Jacksonville, FL
- NPI 1144651373
-
- Internal Medicine Physician
- Sarasota, FL
- NPI 1437925047
-
- Family Nurse Practitioner
- Palmetto, FL
- NPI 1194426197
-
- Internal Medicine Physician
- St Petersburg, FL
- NPI 1881647253
-
- Urgent Care Clinic/Center
- Cincinnati, OH
- NPI 1982903951
-
- Internal Medicine Physician
- Saint John, IN
- NPI 1629584396
-
- Internal Medicine Physician
- Lansing, MI
- NPI 1013425479
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Riverview, FL
- NPI 1932661725
-
- Home Health Agency
- Tampa, FL
- NPI 1437663465
-
- Home Health Agency
- Oldsmar, FL
- NPI 1689600082
-
- Home Health Agency
- Spring Hill, FL
- NPI 1467488999
-
- Home Health Agency
- Oldsmar, FL
- NPI 1902871031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1891942207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1839 CENTRAL AVENUE",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337138900",
"telephone_number": "727-322-1054",
"fax_number": "727-821-7213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1839 CENTRAL AVENUE",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337138900",
"telephone_number": "727-322-1054",
"fax_number": "727-821-7213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCRAY",
"first_name": "KELLI",
"middle_name": "CHARLENE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-27",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5020223",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRNCNP.0035472",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11027047",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118617400",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KELLI",
"last_name": "MCCRAY",
"middle_name": "C",
"credential": "APRN",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.