Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katlin Alicia Gray, PA

Individual provider Physician Assistant · NPI 1215636949

Katlin Alicia Gray, PA is a Physician Assistant in Saint Louis, Missouri. Qualified in 2023, 3 years ago. Practices with Mercy Clinic Trauma and General Surgery LLC, a 45-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
3
Licensed in
MO
In the registry since
2023
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

621 S New Ballas Rd Ste 560A
Saint Louis, MO 63141-8261
Phone: (314) 251-6440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2023032172 (MO)

Record details

NPI number1215636949
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 2, 2023
Last updated in NPPESAugust 16, 2023
Certification dateAugust 16, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mercy Clinic Trauma And General Surgery Llc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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