Individual provider Active NPI

Kristin G Fenton, A.R.N.P.

  • Adult Health Nurse Practitioner
  • Alford, FL
National Provider Identifier
1508379751
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP9213724 Issued in FL
Practice address
1798 Georgia St
Alford, FL 32420-6800
Phone
(850) 526-6727
Fax
(850) 526-1027
NPI assigned
Nov 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP9213724 FL Primary

Addresses

Primary practice location

1798 Georgia St
Alford, FL 32420-6800

Mailing address

4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 482-2061

Other practice location 1

4896A Highway 90
Marianna, FL 32446-7840
Phone (850) 526-6700

Other practice location 2

4296 5th Ave
Marianna, FL 32446-2173
Phone (850) 482-2061 ext. 116

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
I20171227001252 FL Practitioner - Nurse Practitioner 8820356652 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Walton Rural Hospital LLCGroup PAC ID 8123559168, 29 clinicians

Practice addresses (Care Compare)

4413 US Hwy 331 S
Defuniak Springs, FL 32435-6307
Phone (850) 920-2065

Hospital & facility affiliations

  • North Walton Doctors Hospital Hospital, Defuniak Springs, FL, CCN 100365
  • HCA Florida Gulf Coast Hospital Hospital, Panama City, FL, CCN 100242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9213724FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
ER Physician Group at Jackson Hospital CurrentSince Mar 1, 2019 Accepting new patients
North Walton Rural Hospital, LLC CurrentSince Dec 31, 2025 Accepting new patients
Barn to Beach Health & Wellness Adult Health CurrentSince Jul 1, 2025 Accepting new patients
Emergency Medicine Services of FL, LLC CurrentSince Nov 18, 2023 Accepting new patients

Locations

1798 Georgia St
Alford, FL 32420
Phone (850) 526-6727

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

4413 US Highway 331 S
Defuniak Springs, FL 32435
Phone (850) 892-5171

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

4296 5th Ave
Marianna, FL 32446
Phone (850) 482-2061

4896 Highway 90
#A
Marianna, FL 32446
Phone (850) 526-6700

4250 Hospital Dr
Marianna, FL 32446
Phone (850) 526-2200

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

Interoperability endpoints

  • Direct secure messaging: kristinfenton@jh.allscriptsdirect.net

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 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": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1508379751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 HOSPITAL DR",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324461917",
            "telephone_number": "850-482-2061",
            "fax_number": "850-482-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1798 GEORGIA ST",
            "city": "ALFORD",
            "state": "FL",
            "postal_code": "324206800",
            "telephone_number": "850-526-6727",
            "fax_number": "850-526-1027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4896A Highway 90",
            "address_purpose": "LOCATION",
            "city": "Marianna",
            "state": "FL",
            "postal_code": "324467840",
            "country_code": "US",
            "telephone_number": "850-526-6700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4296 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Marianna",
            "state": "FL",
            "postal_code": "324462173",
            "country_code": "US",
            "telephone_number": "850-482-2061 x116",
            "fax_number": "850-482-6617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FENTON",
        "first_name": "KRISTIN",
        "middle_name": "G",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-09",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9213724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alford, FL

Sources for this page

Verify at the official NPI Registry.