KATELYN ELIZABETH GRAY APRN
NPI 1053145243
Nurse Practitioner in Crestview, FL
About Katelyn Elizabeth Gray Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATELYN ELIZABETH GRAY APRN (NPI 1053145243) is an individual nurse practitioner in Crestview, Florida, licensed in Florida (11031841) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Twin Cities Hospital, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Katelyn Elizabeth Gray Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Katelyn Gray reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Crestview, FL 32539
- Reassigned Medicare billing, Florida enrollment
- Medicare enrollment name: Okaloosa Cardiology PA
- 19 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hca Florida Twin Cities Hospital
Acute Care Hospitals · Niceville, FLNorth Okaloosa Medical Center
Acute Care Hospitals · Crestview, FLHca Florida Fort Walton-Destin Hospital
Acute Care Hospitals · Fort Walton Beach, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32539 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CRESTVIEW, FL 32539
CRESTVIEW, FL 32539
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Katelyn Gray's NPI number?
The NPI number for Katelyn Gray is 1053145243. It was assigned to this individual provider in the NPPES registry on August 29, 2024.
Where is Katelyn Gray located?
Katelyn Gray practices at 129 E Redstone Ave Ste A, Crestview, FL 32539. The listed phone number is (850) 682-7212.
What is Katelyn Gray's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Katelyn Gray enrolled in Medicare?
Yes. Katelyn Gray is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Katelyn Gray's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Gray reassigns Medicare benefits to Okaloosa Cardiology P A (Crestview, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katelyn Gray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Katelyn Gray affiliated with any hospitals?
According to CMS data, Katelyn Gray is affiliated with Hca Florida Twin Cities Hospital, North Okaloosa Medical Center and Hca Florida Fort Walton-Destin Hospital.
When was this NPI record last updated?
The NPPES record for Katelyn Gray was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Katelyn Elizabeth Gray, APRN · NPI 1053145243
Nurse Practitioner physician in Crestview, Florida. Individual provider, active in the CMS NPPES registry since August 29, 2024.
## Identity
- **NPI:** 1053145243 (Entity type: Individual)
- **Enumerated:** August 29, 2024
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 11031841 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 129 E REDSTONE AVE STE A, Crestview, FL 32539-5350
- **Phone:** (850) 682-7212
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Okaloosa Cardiology P A (NPI 1144270240, Crestview, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** May 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1053145243) · Data from the CMS NPPES public registry.