Active NPI
Kristin G Fenton, A.R.N.P.
- Adult Health Nurse Practitioner
- Alford, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- ARNP9213724
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
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
- HCA Florida Gulf Coast Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9213724 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ER Physician Group at Jackson Hospital | Current | Accepting new patients | |
| North Walton Rural Hospital, LLC | Current | Accepting new patients | |
| Barn to Beach Health & Wellness | Adult Health | Current | Accepting new patients |
| Emergency Medicine Services of FL, LLC | Current | 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
- 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.
-
- Adult Health Nurse Practitioner
- Marianna, FL
- NPI 1033006283
Adult Health, FL
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Defuniak Springs, FL
- NPI 1750142121
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.