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

Kristen Nicole Bannister, APRN, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1174395180

Kristen Nicole Bannister, APRN, FNP-BC is a Nurse Practitioner in Fredonia, Kentucky. Qualified in 2023, 3 years ago. Practices with Pennyroyal Healthcare Services, Inc, a 10-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
3
Licensed in
KY
In the registry since
2023
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Practice location Address checks out

21234 Marion Rd
Fredonia, KY 42411-9250
Phone: (270) 545-2929
Show map & directions

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

Additional practice locations (1)

  • 520 W Gum St, Marion, KY 42064-1516 — (270) 965-5281

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4011046 (KY)

Record details

NPI number1174395180
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , FNP-BC
Sole proprietorNo
NPI enumeratedOctober 23, 2023
Last updated in NPPESOctober 23, 2023
Certification dateOctober 23, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Pennyroyal Healthcare Services, Inc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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