Individual provider Active NPI

Kelli Charlene McCray, APRN

  • Family Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1891942207
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11027047 Issued in FL
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

Updated by the provider on Oct 30, 2024

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 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

IdentifierTypeStateIssuer
118617400MedicaidFL

Other names 1

  • Kelli C McCray Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OH, NC, IN, MI, DC, VA7 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
I20230707001117 FL Practitioner - Nurse Practitioner 9638538713 Reassigns benefits to 7 organizations
I20240412003555 OH Practitioner - Nurse Practitioner 9638538713 Reassigns benefits to 3 organizations
I20241218000561 NC Practitioner - Nurse Practitioner 9638538713 Reassigns benefits to 4 organizations
I20250421001204 IN Practitioner - Nurse Practitioner 9638538713 Reassigns benefits to 2 organizations
I20260415002177 MI Practitioner - Nurse Practitioner 9638538713 Reassigns benefits to 1 organization
I20260602002079 DC Practitioner - Nurse Practitioner 9638538713 Reassigns benefits to 1 organization
I20260625000832 VA Practitioner - Nurse Practitioner 9638538713 Reassigns benefits to 1 organization

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
Vitalcare Health Services PCGroup PAC ID 2264961861, 46 clinicians
Universal Health CorporationGroup PAC ID 5597912626, 120 clinicians
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians
Quantum Practitioner Services LLCGroup PAC ID 7214392810, 31 clinicians
Cardiac Vision LLCGroup PAC ID 9032349733, 66 clinicians
Mana Health Partners PAGroup PAC ID 3971952813, 102 clinicians

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 Home health agency, Tampa, FL, CCN 683149
  • Pinnacle Home Care Home health agency, Oldsmar, FL, CCN 108290
  • Haven Home Health Care Home health agency, Riverview, FL, CCN 687113
  • Pinnacle Home Care Inc Home health agency, Trinity, FL, CCN 107797
  • Pinnacle Home Care of Spring Hill Inc Home health agency, Spring Hill, FL, CCN 108068
  • Life Care Center of Pensacola Nursing home, Pensacola, FL, CCN 106073

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11027047FLMDFamily Nurse Practitioner
APRNCNP.0035472OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Behavioral Health Services LLC CurrentSince Sep 10, 2023 Accepting new patients
Theoria Medical CurrentSince May 7, 2024 Accepting new patients
Mana Health Partners PA CurrentSince Dec 1, 2024 Accepting new patients
Vitalcare Health Services PC CurrentSince Dec 16, 2025 Accepting new patients
Vitalcare Medical Services PA CurrentSince Dec 16, 2025 Accepting new patients
Professional Health Care of Pinellas LLC CurrentSince Apr 29, 2024 Accepting new patients
CG Medical Associates Inc CurrentSince May 1, 2024 Accepting new patients
Cardiac Vision LLC CurrentSince Mar 9, 2025 Accepting new patients
Quantum Practitioner Services LLC Family CurrentSince Oct 12, 2025 Accepting new patients
Professional Health Care of Pinellas Inc. CurrentSince Apr 29, 2024 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

  • FHIR API: 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.

View all 15

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.