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

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: August 23, 2026.

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

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
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

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

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

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.

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-Language Pathologist
4631 NW 53RD AVE, SUITE 104
GAINESVILLE, FL 32653
Social Worker (Clinical)
4631 NW 53RD AVE, SUITE 104
GAINESVILLE, FL 32653
Speech-Language Pathologist
4631 NW 53RD AVE, SUITE 104
GAINESVILLE, FL 32653
Chiropractor
4631 NW 53RD AVE, SUITE 106
GAINESVILLE, FL 32653

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.

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 2 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.