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

Kristopher E Nelson, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1346939998

Kristopher E Nelson, NURSEPRACTITIONER is a Nurse Practitioner in Jamestown, New York. Qualified in 2022, 4 years ago. Practices with Great Lakes Physician Practice PC, a 143-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2023
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Practice location Address checks out

207 Foote Ave
Jamestown, NY 14701-7077
Phone: (716) 450-0863
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 351494 (NY)

Record details

NPI number1346939998
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedMay 1, 2023
Last updated in NPPESDecember 5, 2025
Certification dateMay 1, 2023
Mailing address207 Foote Ave, Jamestown, NY 14701-7077

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Great Lakes Physician Practice Pc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jamestown