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

Kristin D. Nelson, PA-C

Individual provider Physician Assistant · NPI 1053819680

Kristin D. Nelson, PA-C is a Physician Assistant in Temple Terrace, Florida. Qualified in 2017, 9 years ago. Practices with Adventhealth Primary Care Network Inc, a 410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

11420 N 56th St
Temple Terrace, FL 33617-2237
Phone: (813) 915-5459
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1259 S Pinellas Ave, Tarpon Springs, FL 34689-3719 — (727) 938-1908

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9110959 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 9110959 (FL)

Record details

NPI number1053819680
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 29, 2018
Last updated in NPPESMay 17, 2024
Certification dateMay 17, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Adventhealth Primary Care Network Inc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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