KATELYN ELIZABETH GRAY (APRN) – Nurse Practitioner, NPI 1053145243
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for KATELYN ELIZABETH GRAY (APRN)
801 TEE ST
NICEVILLE, FL 325783019
Phone: (817) 456-8685
Type: Mailing
129 E REDSTONE AVE STE A
CRESTVIEW, FL 325395350
Phone: (850) 682-7212
Type: Location
552 Twin Cities Blvd Ste A
Niceville, FL 325781059
Phone: (850) 279-4426
Type: Location
1032 Mar Walt Dr Unit 110
Fort Walton Beach, FL 325476661
Phone: (850) 862-1753
Type: Location
36468 Emerald Coast Pkwy Ste 1100
Destin, FL 325414799
Phone: (850) 424-5638
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $105.
Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Amgen Inc. ($31).
Total Amount
$105
General + Research + Ownership
Payments
6
Total payment records
General Amount
$105
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-11-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241107001077 | I | Nurse Practitioner | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32578)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | FL | |
| - | FL | |
| Cardiovascular Disease (Cardiology) | FL | |
| Cardiovascular Disease (Cardiology) | OH | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | FL | |
| Cardiovascular Disease (Cardiology) | FL | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal Medicine | FL |
Reviews
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