Katelyn Elizabeth Gray, APRN in Crestview, FL

Katelyn Elizabeth Gray, APRN is a medicare enrolled "Nurse Practitioner" in Crestview, Florida. Her current practice location is 129 E Redstone Ave Ste A, Crestview, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 682-7212.

Katelyn Elizabeth Gray is licensed to practice in Florida (license number 11031841) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053145243.

Contact Information

	Katelyn Elizabeth Gray, APRN
	129 E Redstone Ave Ste A, Crestview, FL 32539-5350
	(850) 682-7212
	Not Available

Map and Direction

Provider's Profile

Full Name	Katelyn Elizabeth Gray
Gender	Female
Speciality	Nurse Practitioner
Location	129 E Redstone Ave Ste A, Crestview, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053145243
Provider Enumeration Date: 08/29/2024
Last Update Date: 05/14/2025

Medicare PECOS Information:

PECOS PAC ID: 2466986831
Enrollment ID: I20241107001077

Medical Identifiers

Medical identifiers for Katelyn Elizabeth Gray such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053145243	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	11031841 (Florida)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Katelyn Elizabeth Gray allows following entities to bill medicare on her behalf.

Entity Name	Okaloosa Cardiology P A
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144270240 PECOS PAC ID: 7315920899 Enrollment ID: O20040608000466

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katelyn Elizabeth Gray is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Katelyn Elizabeth Gray, APRN 801 Tee St, Niceville, FL 32578-3019 Ph: (817) 456-8685	Katelyn Elizabeth Gray, APRN 129 E Redstone Ave Ste A, Crestview, FL 32539-5350 Ph: (850) 682-7212

Reviews and Comments

Nurse Practitioner Nurses in Crestview, FL

Mrs. Leslie Ann Rossley, ARNP, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 160 E Redstone Ave, Crestview, FL 32539 Phone: 850-689-0555
Adam C Hargis, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 151 E Redstone Ave, Crestview, FL 32539 Phone: 859-669-8100
Ashleigh Blakely, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 151 E Redstone Ave, Crestview, FL 32539 Phone: 850-689-8100
Sarah Stone, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4625 Scarlet Dr E, Crestview, FL 32539 Phone: 573-673-1328
Mrs. Michelle Therese Koski, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 302 E James Lee Blvd, Crestview, FL 32539 Phone: 850-682-1002
Ms. Kelley Michelle Coone, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 E Redstone Ave, Crestview, FL 32539 Phone: 850-398-8725
Mrs. Connie Rhoades Killam, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 596 N Ferdon Blvd, Crestview, FL 32536 Phone: 850-306-3268 Fax: 850-398-5029

Katelyn Elizabeth Gray, APRN - Medicare Nurse Practitioner in Crestview, FL