Individual provider Active NPI

Kristen Whitfield Deason, APRN

  • Primary Care Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1942842901
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
ARPN11004348 Issued in FL
Practice address
2473 Care Dr
Tallahassee, FL 32308-9814
Phone
(850) 324-6054
NPI assigned
Oct 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X ARPN11004348 FL Primary

Addresses

Primary practice location

2473 Care Dr
Tallahassee, FL 32308-9814

Mailing address

13645 NW Hoecake Rd
Bristol, FL 32321-3353

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EClinicalWorks Health Information Exchange (HIE)

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
I20210308000202 FL Practitioner - Nurse Practitioner 2860808409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tallahassee Neurology Specialists PLGroup PAC ID 7911199971, 17 clinicians

Practice addresses (Care Compare)

2250 Harrison Ave
Panama City, FL 32405-4548
Phone (850) 784-2477

Merit-based Incentive Payment System (MIPS)

Final score
93.23 of 100Reported as group
Quality
74.55
Promoting interoperability
100
Improvement activities
40
Cost
87.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARPN11004348FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Neurology Specialists, P.L. CurrentSince Mar 1, 2021 Accepting new patients
Tallahassee Neurology Specialists PL CurrentSince Mar 1, 2021 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

2250 Harrison Ave
Panama City, FL 32405
Phone (350) 784-2477

1401 Oven Park Dr
Tallahassee, FL 32308
Phone (850) 765-8623

1401 Oven Park Dr
Ste 201A
Tallahassee, FL 32308

1401 Oven Park Dr
Ste 201
Tallahassee, FL 32308
Phone (850) 765-8623

Interoperability endpoints

  • Direct secure messaging: kristen.deason.1@21684.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1942842901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13645 NW HOECAKE RD",
            "city": "BRISTOL",
            "state": "FL",
            "postal_code": "323213353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2473 CARE DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323089814",
            "telephone_number": "850-324-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEASON",
        "first_name": "KRISTEN",
        "middle_name": "WHITFIELD",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARPN11004348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EClinicalWorks",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2473 Care Dr",
            "city": "Tallahassee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323089814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.