KRISTIN D. NELSON (PA-C) – Physician Assistant, NPI 1053819680
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for KRISTIN D. NELSON (PA-C)
1259 S PINELLAS AVE
TARPON SPRINGS, FL 346893719
Phone: (727) 938-1908
Fax: (727) 938-8693
Type: Mailing
1259 S Pinellas Ave
Tarpon Springs, FL 346893719
Phone: (727) 938-1908
Type: Location
Forest Hills Drive, Tampa, Hillsborough County, Florida, 33604, United States
TAMPA, FL 336127770
Phone:
Type: Mailing
1259, South Pinellas Avenue, Tarpon Springs, Pinellas County, Florida, 34689, United States
TARPON SPRINGS, FL 346893719
Phone: (727) 938-1908
Type: Location
11420 N 56TH ST
TEMPLE TERRACE, FL 336172237
Phone: (813) 915-5459
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $267.
Total Amount is formed as General ($267) + Research ($0) + Ownership ($0) = $267.
Last reported payment date: 2024-10-01 • Largest payer in this snapshot: Novo Nordisk Inc ($84).
Total Amount
$267
General + Research + Ownership
Payments
13
Total payment records
General Amount
$267
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-01
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-04-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180409001081 | I | Physician Assistant | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 34689)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Family Practice | FL | |
| Family Practice, Emergency Medicine | FL | |
| Family Practice | FL | |
| Family Practice | LA | |
| Nurse Practitioner | FL | |
| Physician Assistant | TX | |
| Internal Medicine | FL | |
| Physician Assistant | FL |
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