Active NPI
Kristen Lee Shotwell, APRN
- Nurse Practitioner
- Jupiter, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11039317
- Practice address
- 2141 S Alt A1A Ste 420
Jupiter, FL 33477-4063 - Phone
- (561) 743-5580
- NPI assigned
- May 7, 2025
- Last updated
- Dec 11, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11039317 | FL | Primary |
Addresses
Primary practice location
2141 S Alt A1A Ste 420
Jupiter, FL 33477-4063
Mailing address
4580 SE Federal Hwy Apt 7410
Stuart, FL 34997-5783
Phone (561) 222-3848
Other names 1
- Kristen Henderson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3347 S State Rd
7 Suite 101
Wellington, FL 33449-8148
Phone (561) 790-2111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11039317 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesiscare USA of Florida LLC | Current | Accepting new patients | |
| Genesiscare USA of Florida LLC | Current | Accepting new patients | |
| Genesiscare USA of Florida LLC | Current | Accepting new patients | |
| Genesiscare USA of Florida LLC | Past | Accepting new patients |
Locations
1419 SE 8th Ter
Ste 200
Cape Coral, FL 33990
1419 SE 8th Ter
Cape Coral, FL 33990
Phone (239) 772-3202
3680 Broadway
Fort Myers, FL 33901
Phone (239) 936-0380
2141 S Highway A1A Alt
Ste 420
Jupiter, FL 33477
Phone (561) 743-5580
3347 S State Road 7
Ste 101
Wellington, FL 33449
Phone (561) 790-2111
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Radiation Oncology Physician
- Fort Myers, FL
- NPI 1134109747
-
dba David Schwartzwald, MD: Urology Care Specialists
- Urology Physician
- Boca Raton, FL
- NPI 1649093709
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jupiter, FL
- NPI 1295721090
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
-
dba Palm Beach Gardens Medical Center
- General Acute Care Hospital
- Palm Beach Gardens, FL
- NPI 1144251216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765411200000",
"number": "1144010927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4580 SE FEDERAL HWY APT 7410",
"city": "STUART",
"state": "FL",
"postal_code": "349975783",
"telephone_number": "561-222-3848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2141 S ALT A1A STE 420",
"city": "JUPITER",
"state": "FL",
"postal_code": "334774063",
"telephone_number": "561-743-5580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOTWELL",
"first_name": "KRISTEN",
"middle_name": "LEE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-07",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11039317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "HENDERSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.