Individual provider Active NPI

Kristi Leigh Fenton, AGACNP-BC

  • Acute Care Nurse Practitioner
  • San Luis Obispo, CA
National Provider Identifier
1497409403
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95019483 Issued in CA
Practice address
1551 Bishop St Ste 203
San Luis Obispo, CA 93401-4635
Phone
(805) 434-5530
Fax
(805) 434-0023
NPI assigned
Feb 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95019483 CA Primary

Addresses

Primary practice location

1551 Bishop St Ste 203
San Luis Obispo, CA 93401-4635

Mailing address

1551 Bishop St Ste 230
San Luis Obispo, CA 93401-4661
Phone (805) 434-5530

Other practice location 1

2475 Juniper Ave
Morro Bay, CA 93442-1763
Phone (805) 459-1744

Other practice location 2

850 Fair Oaks Ave Ste 220
Arroyo Grande, CA 93420-3929
Phone (805) 434-5530

Other practice location 3

1304 Ella St Ste A
San Luis Obispo, CA 93401-4165
Phone (805) 549-9555

Other practice location 4

350 Posada Ln Ste 202
Templeton, CA 93465-4060
Phone (805) 434-5530

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
I20220921000797 CA Practitioner - Nurse Practitioner 3072998426 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1414 E Main St
Suite 201
Santa Maria, CA 93454-4890

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95019483CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of San Luis Obispo, a Medical Group Inc CurrentSince May 29, 2024 Accepting new patients
Pacific Central Coast Health Centers CurrentSince May 1, 2024 Accepting new patients
Pacific Central Coast Health Centers CurrentSince May 1, 2024 Accepting new patients
Pacific Central Coast Health Centers Current Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients

Locations

850 Fair Oaks Ave
Ste 220
Arroyo Grande, CA 93420
Phone (805) 434-5530

500 Old River Rd
Ste 200
Bakersfield, CA 93311
Phone (661) 663-6429

2901 N Ventura Rd
Ste 110
Oxnard, CA 93036
Phone (805) 981-6163

1325 E Church St
Santa Maria, CA 93454
Phone (805) 219-4673

1510 E Main St
Ste 104C
Santa Maria, CA 93454
Phone (805) 349-8514

1304 Ella St
Ste A
Sn Luis Obisp, CA 93401
Phone (805) 541-1060

1551 Bishop St
Ste 230
Sn Luis Obisp, CA 93401
Phone (805) 434-5530

350 Posada Ln
Ste 202
Templeton, CA 93465
Phone (805) 434-5497

1310 Las Tablas Rd
Ste 103
Templeton, CA 93465
Phone (805) 434-0829

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1497409403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 BISHOP ST STE 230",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014661",
            "telephone_number": "805-434-5530",
            "fax_number": "805-434-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 BISHOP ST STE 203",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014635",
            "telephone_number": "805-434-5530",
            "fax_number": "805-434-0023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2475 Juniper Ave",
            "address_purpose": "LOCATION",
            "city": "Morro Bay",
            "state": "CA",
            "postal_code": "934421763",
            "country_code": "US",
            "telephone_number": "805-459-1744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 Fair Oaks Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Arroyo Grande",
            "state": "CA",
            "postal_code": "934203929",
            "country_code": "US",
            "telephone_number": "805-434-5530",
            "fax_number": "805-434-0023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1304 Ella St Ste A",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934014165",
            "country_code": "US",
            "telephone_number": "805-549-9555",
            "fax_number": "805-549-0444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Posada Ln Ste 202",
            "address_purpose": "LOCATION",
            "city": "Templeton",
            "state": "CA",
            "postal_code": "934654060",
            "country_code": "US",
            "telephone_number": "805-434-5530",
            "fax_number": "805-434-0023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FENTON",
        "first_name": "KRISTI",
        "middle_name": "LEIGH",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95019483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.