MS. KIMBERLY ROSE CRAY (PA) – Physician Assistant, NPI 1700061645

MS. KIMBERLY ROSE CRAY (PA) is a healthcare provider. based in Fort myers, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 9104464 (FL). The NPI Number for MS. KIMBERLY ROSE CRAY (PA) is 1700061645

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MS. KIMBERLY ROSE CRAY (PA)
NPI
1700061645
Phone
(239) 437-8810
Address
15051 S TAMIAMI TRL
Enumeration Date
9 January 2008
Last Update Date
3 May 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5619266150
Graduation Year
2017 (9 years ago)
PAC ID
4688942337
Group Practice PAC ID
5799116588
Professional Enrollment ID
I20170621001347
Address ID
FL349944512ST1050XRDXX444
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

9,232 PHYSICIAN ASSISTANT in FL

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Provider Addresses for MS. KIMBERLY ROSE CRAY (PA)

  • Regions Bank, 15051, South Tamiami Trail, Fort Myers, Lee County, Florida, 33908, United States

    SUITE 203

    FORT MYERS, FL 339085182

    Phone: (239) 437-8810

    Fax: (239) 313-2555

    Type: Mailing

  • 3659, South Miami Avenue, Bay Heights, Miami, Miami-Dade County, Florida, 33133, United States

    SUITE 6008

    MIAMI, FL 331334227

    Phone: (305) 856-6555

    Fax: (305) 856-6556

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 43 Open Payments records for all available years, with a total value of $1,436.

Total Amount is formed as General ($1,436) + Research ($0) + Ownership ($0) = $1,436.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: REVANCE THERAPEUTICS, INC. ($541).

Total Amount

$1,436

General + Research + Ownership

Payments

43

Total payment records

General Amount

$1,436

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-06-21

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170621001347IPhysician AssistantFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths9018$0
99213Established patient office or other outpatient visit, 20-29 minutes4140$0
17000Destruction of precancer skin growth, 1 growth2323$0
99203New patient office or other outpatient visit, 30-44 minutes1919$0
17110Destruction of skin growth, 1-14 growths1212$0
View full utilization report →

Insurance plans in this area (ZIP 33908)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799116588View full group profile
NameSpecialtyState
D E R M A T O L O G YFL
D E R M A T O L O G YFL
D E R M A T O L O G YFL
D E R M A T O L O G YFL

Reviews

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Frequently asked questions

Can I use this page to confirm MS. KIMBERLY ROSE CRAY (PA)'s NPI?
Yes. MS. KIMBERLY ROSE CRAY (PA) is listed with NPI 1700061645 in the public NPI dataset.
Does the file indicate MS. KIMBERLY ROSE CRAY (PA) is practicing under active NPI?
Directory data currently reports MS. KIMBERLY ROSE CRAY (PA) as active.
What is MS. KIMBERLY ROSE CRAY (PA)'s primary classification?
Physician Assistant is the headline specialty for MS. KIMBERLY ROSE CRAY (PA) here. Clinical services aligned with this taxonomy classification.
What area does MS. KIMBERLY ROSE CRAY (PA) serve?
MS. KIMBERLY ROSE CRAY (PA)'s listing highlights Fort Myers, Florida; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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