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

Kristen Deacon

Individual provider Physician Assistant · NPI 1154036093

Kristen Deacon is a Physician Assistant in Williamsville, New York. Qualified in 2024, 2 years ago. Practices with General Physician PC, a 487-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2023
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

45 Spindrift Dr
Williamsville, NY 14221-7889
Phone: (716) 422-5422
Fax: (716) 422-5420
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • Elm And Carlton St, Buffalo, NY 14263-0001 — (716) 845-2300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1154036093
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 16, 2023
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice General Physician Pc — 487 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Williamsville