Individual provider Active NPI

Kristen Jeanine Nearing, PA

  • Physician Assistant
  • Cape Coral, FL
National Provider Identifier
1033996855
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
636 Del Prado Blvd S
Cape Coral, FL 33990-2668
Phone
(239) 424-3513
NPI assigned
Sep 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2845 ME
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

636 Del Prado Blvd S
Cape Coral, FL 33990-2668

Mailing address

2412 Brownwood Dr
Mulberry, FL 33860-5511
Phone (863) 738-5264

Other practice location 1

10 Wayman Ln
Bar Harbor, ME 04609-1625
Phone (207) 288-5081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, ME2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240401000656 FL Practitioner - Physician Assistant 4688012370 Reassigns benefits to 1 organization
I20251016000556 ME Practitioner - Physician Assistant 4688012370 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Nova Southeastern College of Osteo Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10 Wayman LN
Bar Harbor, ME 04609-1625

PO Box
Suite 853
Milford, ME 04461-0853

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2845MEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Desert Island Hospital CurrentSince Jul 28, 2025 Accepting new patients
Mount Desert Island Hospital CurrentSince Jul 28, 2025 Accepting new patients

Locations

322 Main St
Bar Harbor, ME 04609
Phone (207) 288-5082

10 Wayman Ln
Bar Harbor, ME 04609
Phone (207) 288-5082

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/b5eba017-85d4-4b6c-a2f0-9b2c7b0c38dd/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1033996855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 BROWNWOOD DR",
            "city": "MULBERRY",
            "state": "FL",
            "postal_code": "338605511",
            "telephone_number": "863-738-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339902668",
            "telephone_number": "239-424-3513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Wayman Ln",
            "address_purpose": "LOCATION",
            "city": "Bar Harbor",
            "state": "ME",
            "postal_code": "046091625",
            "country_code": "US",
            "telephone_number": "207-288-5081",
            "fax_number": "207-288-8620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEARING",
        "first_name": "KRISTEN",
        "middle_name": "JEANINE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-14",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA2845",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.