Individual provider Active NPI

Kristin Elaine Foster, NURSE PRACTITIONER

  • Pediatric Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1265028260
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN11011563 Issued in FL
Practice address
4951 Grande Dr
Pensacola, FL 32504-8965
Phone
(185) 047-3010
Fax
(850) 473-0500
NPI assigned
Dec 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11010518 FL
Nurse Practitioner 363L00000X 11010518 FL
Pediatric Nurse Practitioner 363LP0200X APRN11011563 FL Primary

Addresses

Primary practice location

4951 Grande Dr
Pensacola, FL 32504-8965

Mailing address

4951 Grande Dr
Pensacola, FL 32504-8965
Phone (850) 473-0100

Other practice location 1

8333 N Davis Hwy Fl 7
Pensacola, FL 32514-6050
Phone (850) 494-4000

Other practice location 2

3570 Brookshire Dr
Pensacola, FL 32504-4420
Phone (850) 501-8083

Other identifiers 1

IdentifierTypeStateIssuer
109797200MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210630002352 FL Practitioner - Nurse Practitioner 8527469386 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Florida Internal Medicine LLCGroup PAC ID 7214942283, 8 clinicians

Practice addresses (Care Compare)

320 Racetrack Rd NW
Suite 100C
Fort Walton Beach, FL 32547-1796
Phone (850) 969-2038

Hospital & facility affiliations

  • HCA Florida West Hospital Hospital, Pensacola, FL, CCN 100231

Merit-based Incentive Payment System (MIPS)

Final score
90.15 of 100Reported as group
Quality
96.04
Promoting interoperability
99
Improvement activities
40
Cost
71.95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11010518FLMDNurse Practitioner
APRN11011563FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Florida Multispecialty Physicians LLC CurrentSince May 25, 2021 Accepting new patients
West Florida Internal Medicine LLC CurrentSince May 25, 2021 Accepting new patients
Hospital Physician Services of Florida PA Family Medicine CurrentSince Jan 6, 2025 Accepting new patients
Pensacola Nephrology, PA Past Accepting new patients

Locations

320 Racetrack Rd NW
Ste 100C
Fort Walton Beach, FL 32547
Phone (850) 863-0883

8333 N Davis Hwy
Fl 7
Pensacola, FL 32514
Phone (850) 474-1625

8333 N Davis Hwy
Fl 2
Pensacola, FL 32514
Phone (850) 474-8719

8391 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-4885

8333 N Davis Hwy
#2
Pensacola, FL 32514

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: kristin.foster@hca5.eclinicaldirectplus.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1265028260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4951 GRANDE DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048965",
            "telephone_number": "850-473-0100",
            "fax_number": "850-473-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 GRANDE DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048965",
            "telephone_number": "185-047-3010",
            "fax_number": "850-473-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8333 N Davis Hwy Fl 7",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325146050",
            "country_code": "US",
            "telephone_number": "850-494-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3570 Brookshire Dr",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325044420",
            "country_code": "US",
            "telephone_number": "850-501-8083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "KRISTIN",
        "middle_name": "ELAINE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-15",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "11010518",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11010518",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "APRN11011563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109797200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.