Individual provider Active NPI

Kristen Lynn Carr, APRN

  • Family Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1952932329
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11005507 Issued in FL
Practice address
13411 Parker Commons Blvd Ste 101
Fort Myers, FL 33912-1873
Phone
(239) 415-4900
Fax
(239) 337-4901
NPI assigned
Feb 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11005507 FL Primary

Addresses

Primary practice location

13411 Parker Commons Blvd Ste 101
Fort Myers, FL 33912-1873

Mailing address

13411 Parker Commons Blvd Ste 101
Fort Myers, FL 33912-1873
Phone (239) 415-4900

Other names 1

  • Kristen Lynn Mason Former name

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
I20200224001169 FL Practitioner - Nurse Practitioner 3072940501 Reassigns benefits to 3 organizations

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
Cardiology Consultants of Southwest Florida IncGroup PAC ID 9335114552, 9 clinicians
Aneley Hundae Port Charlotte Cardiology LLCGroup PAC ID 8921345109, 3 clinicians

Practice addresses (Care Compare)

13411 Parker Commons Blvd
Suite 101
Fort Myers, FL 33912-1873
Phone (239) 415-4900

3161 Harbor Blvd
Suite a
Port Charlotte, FL 33952-6754
Phone (941) 235-8892

Hospital & facility affiliations

  • Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Memorial Health System CurrentSince Mar 1, 2020 Accepting new patients
Cardiology Consultants of Southwest Florida, Inc. CurrentSince Sep 3, 2024 Accepting new patients
Lee Memorial Health System CurrentSince Mar 1, 2020 Accepting new patients

Locations

708 Del Prado Blvd S
Ste 7
Cape Coral, FL 33990
Phone (239) 424-3660

1569 Matthew Dr
Fort Myers, FL 33907
Phone (941) 939-1700

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

13411 Parker Commons Blvd
Ste 101
Fort Myers, FL 33912
Phone (239) 415-4900

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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 1

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": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1952932329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13411 PARKER COMMONS BLVD STE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121873",
            "telephone_number": "239-415-4900",
            "fax_number": "239-337-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13411 PARKER COMMONS BLVD STE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121873",
            "telephone_number": "239-415-4900",
            "fax_number": "239-337-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "KRISTEN",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-03",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11005507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "MASON",
            "middle_name": "LYNN",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.