Individual provider Active NPI

Kristen C Lohser, PA-C

  • Physician Assistant
  • Orlando, FL
National Provider Identifier
1053643650
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15627 Issued in MN
Practice address
3211 Rouse Rd
Orlando, FL 32817-2117
Phone
(385) 220-6257
NPI assigned
Feb 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.01039RX OH
Physician Assistant 363A00000X 15627 MN Primary
Physician Assistant 363A00000X 013896 NY
Physician Assistant 363A00000X PA9113528 FL

Addresses

Primary practice location

3211 Rouse Rd
Orlando, FL 32817-2117

Mailing address

1201 Par View Dr
Sanibel, FL 33957-6401
Phone (917) 318-2920

Other names 1

  • Kristen Elizabeth Colello Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MN2 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
I20211015002727 FL Practitioner - Physician Assistant 3779778188 Reassigns benefits to 1 organization
I20251211001943 MN Practitioner - Physician Assistant 3779778188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1201 Par View Dr
Sanibel, FL 33957-6401

3742 W 2150
Suite 150
Lehi, UT 84048-7802

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15627MNMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalcare Health Services PC Physician Assistant CurrentSince Dec 1, 2025 Accepting new patients
Vitalcare Medical Services PA Physician Assistant CurrentSince Nov 19, 2025 Accepting new patients

Locations

2106 2nd Ave S
Minneapolis, MN 55404
Phone (612) 874-1603

9200 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 881-8676

3742 W 2150 N
Ste 150
Lehi, UT 84048
Phone (385) 205-6486

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1265414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1053643650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 PAR VIEW DR",
            "city": "SANIBEL",
            "state": "FL",
            "postal_code": "339576401",
            "telephone_number": "917-318-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 ROUSE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328172117",
            "telephone_number": "385-220-6257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOHSER",
        "first_name": "KRISTEN",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-06",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.01039RX",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "15627",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "013896",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113528",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "COLELLO",
            "middle_name": "ELIZABETH",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.