Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 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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Directions in Google Maps · Apple Maps · OpenStreetMap

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

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients136
Services billed 165 a service is one billed item, such as a visit, a test or a procedure
Average patient age68

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Great Lakes Physician Practice PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 143 clinicians in the practice; 12 are shown here.

Other providers in Jamestown