Individual provider Active NPI

Kristen Frances Nelson, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Berkeley, CA
National Provider Identifier
1104010859
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
17436 Issued in CA
Practice address
2150 Shattuck Ave Ste 725
Berkeley, CA 94704-1364
Phone
(510) 899-6220
Fax
(510) 809-1974
NPI assigned
Sep 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 17436 CA Primary

Addresses

Primary practice location

2150 Shattuck Ave Ste 725
Berkeley, CA 94704-1364

Mailing address

3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954

Other practice location 1

559 Clay St
Suite 200
San Francisco, CA 94111-3029
Phone (415) 644-5265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110705000024 CA Practitioner - Nurse Practitioner 9133304421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of California, San Francisco School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2150 Shattuck Ave
Suite 725
Berkeley, CA 94704-1364
Phone (510) 340-4202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
17436CAMDOrthopedic Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
LGTC Group Psychiatric/Mental Health PastSince May 20, 2025 Accepting new patients
WK Medical Group Psychiatric/Mental Health PastSince Apr 6, 2016 Accepting new patients
Los Gatos Therapy Center PastSince Apr 17, 2022 Accepting new patients

Organizations & group practices 4

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": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1104010859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 N FREEWAY BLVD STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 SHATTUCK AVE STE 725",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041364",
            "telephone_number": "510-899-6220",
            "fax_number": "510-809-1974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "559 Clay St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941113029",
            "country_code": "US",
            "telephone_number": "415-644-5265",
            "fax_number": "415-291-0489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KRISTEN",
        "middle_name": "FRANCES",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "17436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.