Active NPI
Kristen Jeanine Nearing, PA
- Physician Assistant
- Cape Coral, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA2845 | ME | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Desert Island Hospital | Current | Accepting new patients | |
| Mount Desert Island Hospital | Current | 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
- 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.
-
- Critical Access Hospital
- Bar Harbor, ME
- NPI 1790764512
-
- Emergency Medicine Physician
- Cape Coral, FL
- NPI 1376611962
-
- Dental Clinic/Center
- Southwest Harbor, ME
- NPI 1235553413
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Bar Harbor, ME
- NPI 1790764512
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.