DR. NICO DORFLING KRISTEN MD
NPI 1487051314
Family Medicine in Gainesville, FL

Q: What is Nico Kristen's NPI number?

The NPI number for Nico Kristen is 1487051314. It was assigned to this individual provider in the NPPES registry on November 20, 2014.

Q: What is Nico Kristen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Nico Kristen was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since November 20, 2014PECOS EnrolledAccepts Medicare Assignment

4631 NW 53RD AVE, GAINESVILLE, FL 32653(813) 771-6851(813) 771-6875 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 26, 2019, Aug 16, 2018 (2 updates tracked since 2018).

On this page

About Dr. Nico Dorfling Kristen Md NPPES

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

DR. NICO DORFLING KRISTEN MD (NPI 1487051314) is an individual family medicine provider in Gainesville, Florida, licensed in Florida (ME140709) and active in the NPI registry since November 2014. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Ocala, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1487051314

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. NICO DORFLING KRISTENCredential: MD

Location Address4631 NW 53RD AVEGainesville, FL 32653-3402

Mailing Address2253 Green Hedges Way Ste 101Wesley Chapel, FL 33544-6969 · (813) 771-6851

Phone(813) 771-6851

Fax(813) 771-6875

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateNovember 20, 2014

Last NPPES UpdateFebruary 27, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 27, 2024

✔ NPI 1487051314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME140709

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedEmergency MedicineTaxonomy 207P00000X · License ME140709 (FL), 28415 (WV)

Also ListedSurgeryTaxonomy 208600000X · License L570803 (MI)

4631 NW 53RD AVE, Gainesville, FL 32653

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Secondary Practice Locations 4

Location 1368 NE Franklin StLake City, FL 32055-3088 · Phone (386) 292-8000 · Fax (904) 754-8121

Location 21 Medical ParkWheeling, WV 26003 · Phone (304) 243-3000

Location 35864 Havens RdDryden, MI 48428-9355 · Phone (248) 605-1069

Location 4922 E Call StStarke, FL 32091-3616 · Phone (904) 368-2300 · Fax (904) 368-2306

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nico Dorfling Kristen Md 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 ID1759699028

PECOS Enrollment IDI20190912000774

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.

Medicare Billing Reassignments

Medicare enrollment records show Nico Kristen reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tri Health Family Wellness Center LLC

104 mi

Family Medicine

2253 GREEN HEDGES WAY
Wesley Chapel, FL 33544

Reassigned Medicare billing, Florida enrollment
8 clinicians in this Medicare group

NPI 1114678588 (813) 771-6851

Paragon Emergency Services LLC

121 mi

Emergency Medicine

200 AVENUE F NE
Winter Haven, FL 33881

Reassigned Medicare billing, Florida enrollment
1,065 clinicians in this Medicare group

NPI 1912101650 (863) 293-1121

Tampa Bay Emergency Physicians-Heartland LLC

160 mi

Emergency Medicine

4200 SUN N LAKE BLVD
Sebring, FL 33872

Reassigned Medicare billing, Florida enrollment
318 clinicians in this Medicare group

NPI 1043661408 (330) 493-4443

Emergency Medicine Services Of Fl, LLC

291 mi

Emergency Medicine

20900 BISCAYNE BLVD
Aventura, FL 33180

Reassigned Medicare billing, Florida enrollment
1,912 clinicians in this Medicare group

NPI 1043917180 (305) 682-7000

Paragon Contracting Services LLC

369 mi

Emergency Medicine

810 SAINT VINCENTS DR
Birmingham, AL 35205

Reassigned Medicare billing, Florida enrollment
802 clinicians in this Medicare group

NPI 1225071459 (205) 939-7100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

335 services304 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

156 services147 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

21 services19 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Ocala

Acute Care Hospitals · Ocala, FL

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100062

Location1500 SW 1st AveOcala, FL 34474 · Marion County

Emergency services Birthing friendly

Marion Communtiy Hospital

Acute Care Hospitals · Ocala, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100212

Location1431 SW 1st AveOcala, FL 34471 · Marion County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32653 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

SPEECH AND LANGUAGE ASSOCIATES

Speech-Language Pathologist

4631 NW 53RD AVE, SUITE 104
GAINESVILLE, FL 32653

Alachua County (352) 373-5389

SUSAN L OSBORNE, LCSW

Social Worker (Clinical)

4631 NW 53RD AVE, SUITE 104
GAINESVILLE, FL 32653

Alachua County (352) 371-1411

MRS. PEGGY L. STONE CCC/SLP

Speech-Language Pathologist

4631 NW 53RD AVE, SUITE 104
GAINESVILLE, FL 32653

Alachua County (352) 373-5389

SAINZ CHIROPRACTIC CARE

Chiropractor

4631 NW 53RD AVE, SUITE 106
GAINESVILLE, FL 32653

Alachua County (352) 378-8500

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 Nico Kristen's NPI number?

The NPI number for Nico Kristen is 1487051314. It was assigned to this individual provider in the NPPES registry on November 20, 2014.

Where is Nico Kristen located?

Nico Kristen practices at 4631 NW 53rd Ave, Gainesville, FL 32653. The listed phone number is (813) 771-6851.

What is Nico Kristen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nico Kristen enrolled in Medicare?

Yes. Nico Kristen 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.

Which organizations bill Medicare for Nico Kristen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nico Kristen reassigns Medicare benefits to 5 organizations: Tri Health Family Wellness Center LLC (Wesley Chapel, FL), Paragon Emergency Services LLC (Winter Haven, FL), Tampa Bay Emergency Physicians-Heartland LLC (Sebring, FL), Emergency Medicine Services Of Fl, LLC (Aventura, FL) and Paragon Contracting Services LLC (Birmingham, AL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nico Kristen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nico Kristen accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Health First Commercial Plans, Inc. and 3 other insurers list Nico Kristen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nico Kristen affiliated with any hospitals?

According to CMS data, Nico Kristen is affiliated with Adventhealth Ocala and Marion Communtiy Hospital.

When was this NPI record last updated?

The NPPES record for Nico Kristen was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.