Kristin Marie Oliver, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11025747 Issued in FL

Practice address

1301 Plantation Island Dr S Ste 202B
St Augustine, FL 32080-3112

Phone

(407) 851-5121

Fax

(407) 851-0439

NPI assigned

Jul 18, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Orlando Psychiatric Associates Inc.Group PAC ID 1153367545, 34 clinicians

Havennexus Family Psychiatry LLCGroup PAC ID 9133663164, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Havennexus Family Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Palm Coast, FL
  • NPI 1750147971

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Orlando Psychiatric Associates Inc.

  dba OPA Behavioral Health Inc.

  • Community/Behavioral Health Agency
  • Orlando, FL
  • NPI 1528172731

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1144518630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PLANTATION ISLAND DR S STE 202B",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320803112",
            "telephone_number": "407-851-5121",
            "fax_number": "407-851-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PLANTATION ISLAND DR S STE 202B",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320803112",
            "telephone_number": "407-851-5121",
            "fax_number": "407-851-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11025747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert W Olds Jr., MD
• Thomas Olesko
• Olive Tree Maternal Wellness Center PLLC
• Agostinho M. Oliveira, D.C.
• Amy Oliver, DPT
• Lisa Olschewske, CD(DONA) CLC
• Beth Erin Olson, DPT
• Bryan Daniel Olson, PT, DPT
• Omar Medical PLLC
• Walid Omar, MD

• Psychiatric/Mental Health Nurse Practitioner in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.

Verify at the official NPI Registry.