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

Kristin Marshall Fajer

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1265098487

Kristin Marshall Fajer is a Physician Assistant in Newberry, Florida. Qualified in 2019, 7 years ago. Practices with Florida Clinical Practice Association Inc, a 1,885-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

23297 NW 8th Pl
Newberry, FL 32669-2673
Phone: (352) 284-7412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1600 Sw Archer Rd, Gainesville, FL 32610-2673 — (352) 273-9079

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9112601 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1265098487
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 13, 2019
Last updated in NPPESAugust 16, 2021
Certification dateAugust 16, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Florida Clinical Practice Association Inc — 1885 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Newberry