Individual provider Active NPI

Kristen Mazur, PA-C

  • Physician Assistant
  • Deland, FL
National Provider Identifier
1427619170
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9120531 Issued in FL
Practice address
1070 N Stone St Ste a
Deland, FL 32720-0824
Phone
(386) 943-7100
NPI assigned
Jun 24, 2019
Last updated
Jan 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9120531 FL Primary
Physician Assistant 363A00000X 5601012134 MI

Addresses

Primary practice location

1070 N Stone St Ste a
Deland, FL 32720-0824

Mailing address

1070 N Stone St Ste a
Deland, FL 32720-0824
Phone (386) 943-7100

Other names 1

  • Kristen Armstrong Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 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
I20231201000488 MI Practitioner - Physician Assistant 6406278043 Reassigns benefits to 1 organization
I20260112001030 FL Practitioner - Physician Assistant 6406278043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes Bay Health CentersGroup PAC ID 2466369046, shared by 30 NPIs, 85 clinicians
Adventhealth Primary Care Network IncGroup PAC ID 1557722410, 428 clinicians

Practice addresses (Care Compare)

3884 Monitor Rd
Bay City, MI 48706-9298
Phone (989) 671-2000

501 Lapeer Ave
Saginaw, MI 48607-1203
Phone (989) 753-6000

661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9120531FLMDPhysician Assistant
5601012134MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Adventhealth Primary Care Network Inc CurrentSince Feb 9, 2026 Accepting new patients
Great Lakes Bay Health Centers CurrentSince Jan 8, 2024 Accepting new patients
Great Lakes Bay Health Centers CurrentSince Jan 8, 2024 Accepting new patients
Eastern Iowa Health Center Past Accepting new patients
Great Lakes Bay Health Centers Past Accepting new patients

Locations

661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040

1070 N Stone St
Ste A
Deland, FL 32720
Phone (386) 943-7100

3884 Monitor Rd
Bay City, MI 48706
Phone (989) 671-2000

501 Lapeer Ave
Saginaw, MI 48607
Phone (989) 753-6000

501 Lapeer Ave
#R
Saginaw, MI 48607
Phone (989) 753-6000

Interoperability endpoints

  • Direct secure messaging: kristen.armstrong.1@27771.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1427619170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 N STONE ST STE A",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327200824",
            "telephone_number": "386-943-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 N STONE ST STE A",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327200824",
            "telephone_number": "386-943-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZUR",
        "first_name": "KRISTEN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9120531",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601012134",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "ARMSTRONG",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Deland, FL

Sources for this page

Verify at the official NPI Registry.