Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kristopher P Jerry, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1063861979

Dr. Kristopher P Jerry, DPM is a Podiatry in Port St Lucie, Florida. Graduated from New York College of Podiatric Medicine in 2016, 10 years ago. Practices with Podiatry Health Services LLC, a 3-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Trained at
New York College of Podiatric Medicine
Licensed in
FL
In the registry since
2016
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Practice location Address checks out

1846 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5545
Phone: (772) 301-1951
Fax: (772) 934-7297
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 5700 Stirling Rd Ste 100, Hollywood, FL 33021-1522 — (772) 301-1951
  • 9950 Stirling Rd Ste 108, Hollywood, FL 33024-8001 — (954) 869-4848
  • 721 Colorado Ave, Stuart, FL 34994-3017 — (772) 301-1951

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence PO3941 (FL)

Record details

NPI number1063861979
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJune 10, 2016
Last updated in NPPESSeptember 19, 2022
Certification dateSeptember 19, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 2016 (10 years in practice)
Group practice Podiatry Health Services Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Port St Lucie