KIERSTEN MARIE FANELL PA-C
NPI 1013894856
Physician Assistant - Surgical in Stuart, FL

Active since August 20, 2025PECOS EnrolledAccepts Medicare Assignment
200 SE HOSPITAL AVE, STUART, FL 34994(772) 287-5200 Get Directions Write a Review

NPPES record last updated: January 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 11, 2026, Nov 26, 2025 (2 updates tracked since 2025).

About Kiersten Marie Fanell Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIERSTEN MARIE FANELL PA-C (NPI 1013894856) is an individual surgical provider in Stuart, Florida, licensed in Florida (PA9120745) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1013894856
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKIERSTEN MARIE FANELLCredential: PA-C
Location Address200 SE HOSPITAL AVEStuart, FL 34994-2346
Mailing Address200 Se Hospital Ave # 2346Stuart, FL 34994-2346 · (661) 858-3326
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 20, 2025
Last NPPES UpdateJanuary 11, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2026
NPI 1013894856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in FL · PA9120745
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA9120745 (FL)
200 SE HOSPITAL AVE, Stuart, FL 34994

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kiersten Marie Fanell Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416443494
PECOS Enrollment IDI20251229002897
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100044
Location200 SE Hospital AveStuart, FL 34994 · Martin County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Nephrology)
200 SE HOSPITAL AVE
STUART, FL 34994
Registered Nurse
200 SE HOSPITAL AVE
STUART, FL 34994
Internal Medicine
200 SE HOSPITAL AVE
STUART, FL 34994
Anesthesiology
200 SE HOSPITAL AVE
STUART, FL 34994
Pharmacist
200 SE HOSPITAL AVE
STUART, FL 34994
Dietitian, Registered
200 SE HOSPITAL AVE
STUART, FL 34994
Pathology (Anatomic Pathology & Clinical Pathology)
200 SE HOSPITAL AVE, PATHOLOGY DEPARTMENT
STUART, FL 34994
Radiology (Diagnostic Radiology)
200 SE HOSPITAL AVE
STUART, FL 34994

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kiersten Fanell's NPI number?

The NPI number for Kiersten Fanell is 1013894856. It was assigned to this individual provider in the NPPES registry on August 20, 2025.

Where is Kiersten Fanell located?

Kiersten Fanell practices at 200 SE Hospital Ave, Stuart, FL 34994. The listed phone number is (772) 287-5200.

What is Kiersten Fanell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kiersten Fanell enrolled in Medicare?

Yes. Kiersten Fanell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kiersten Fanell affiliated with any hospitals?

According to CMS data, Kiersten Fanell is affiliated with Cleveland Clinic Martin North Hospital.

When was this NPI record last updated?

The NPPES record for Kiersten Fanell was last updated on January 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.