KRISTIN G FENTON A.R.N.P.
NPI 1508379751
Nurse Practitioner - Adult Health in Alford, FL

Q: What is Kristin Fenton's NPI number?

The NPI number for Kristin Fenton is 1508379751. It was assigned to this individual provider in the NPPES registry on November 9, 2017.

Q: What is Kristin Fenton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Kristin Fenton was last updated on January 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 09, 2017PECOS EnrolledAccepts Medicare Assignment

76.02/100

CMS Quality Rating

1798 GEORGIA ST, ALFORD, FL 32420(850) 526-6727(850) 526-1027 Get Directions Write a Review

NPPES record last updated: January 16, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 16, 2023, Nov 18, 2022, Jan 6, 2020 and 1 more (4 updates tracked since 2017).

On this page

About Kristin G Fenton A.r.n.p. NPPES

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

KRISTIN G FENTON A.R.N.P. (NPI 1508379751) is an individual adult health provider in Alford, Florida, licensed in Florida (ARNP9213724) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Gulf Coast Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1508379751

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameKRISTIN G FENTONCredential: A.R.N.P.

Location Address1798 GEORGIA STAlford, FL 32420-6800

Mailing Address4250 Hospital DrMarianna, FL 32446-1917 · (850) 482-2061 · Fax (850) 482-6617

Phone(850) 526-6727

Fax(850) 526-1027

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateNovember 9, 2017

Last NPPES UpdateJanuary 16, 20234 updates tracked since enumeration

NPPES CertifiedJanuary 16, 2023

✔ NPI 1508379751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in FL · ARNP9213724

1798 GEORGIA ST, Alford, FL 32420

Open in Google Maps ↗

Secondary Practice Locations 2

Location 14896A Highway 90Marianna, FL 32446-7840 · Phone (850) 526-6700

Location 24296 5th AveMarianna, FL 32446-2173 · Phone (850) 482-2061 ext. 116 · Fax (850) 482-6617

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

Kristin G Fenton A.r.n.p. 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 ID8820356652

PECOS Enrollment IDI20171227001252

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 Kristin Fenton reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

ER Physician Group At Jackson Hospital

11 mi

General Practice

4250 HOSPITAL DR
Marianna, FL 32446

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

NPI 1407801194 (850) 526-2200

Barn To Beach Health & Wellness

11 mi

Adult Health

4296 5TH AVE
Marianna, FL 32446

Reassigned Medicare billing, Florida enrollment

NPI 1033006283 (850) 557-8727

North Walton Rural Hospital, LLC

43 mi

Rural

4413 US HIGHWAY 331 S
Defuniak Springs, FL 32435

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

NPI 1750142121 (850) 920-2065

Emergency Medicine Services Of Fl, LLC

456 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

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 5

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 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.

114 services112 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

43 services16 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

24 services22 patients

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.

23 services23 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.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida Gulf Coast Hospital

Acute Care Hospitals · Panama City, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100242

Location449 W 23rd StPanama City, FL 32405 · Bay County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32420 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.02/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

Promoting Interoperability

Improvement Activities

Cost

60.39

Referred Medical Equipment & Supplies CMS DME claims 20

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

7 suppliers70 claims70 services$112.97 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

6 suppliers63 claims154 services$43.07 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

6 suppliers41 claims217 services$24.16 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

6 suppliers35 claims180 services$17.37 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

8 suppliers72 claims72 services$66.09 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

10 suppliers83 claims83 services$21.12 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

9 suppliers135 claims135 services$20.34 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

9 suppliers139 claims764 services$2.87 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

5 suppliers41 claims41 services$7.43 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

7 suppliers50 claims50 services$13.83 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers12 claims12 services$61.11 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers24 claims24 services$20.32 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

5 suppliers29 claims29 services$107.95 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

2 suppliers17 claims17 services$175.68 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

3 suppliers64 claims66 services$16.33 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

11 suppliers265 claims268 services$43.01 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

7 suppliers71 claims71 services$105.65 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

3 suppliers18 claims3,348 services$0.03 avg. paid by Medicare

Extra heavy duty wheelchair K0007

DME-Wheelchairs · category DD000N

2 suppliers13 claims13 services$101.53 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

3 suppliers18 claims18 services$24.57 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

ER PHYSICIAN GROUP AT JACKSON HOSPITAL

Clinic/Center (Multi-Specialty)

1798 GEORGIA ST
ALFORD, FL 32420

Jackson County (850) 526-6727

TRISHA LEANNA JONES APRN

Nurse Practitioner (Family)

1798 GEORGIA ST
ALFORD, FL 32420

Jackson County (850) 526-6727

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 Kristin Fenton's NPI number?

The NPI number for Kristin Fenton is 1508379751. It was assigned to this individual provider in the NPPES registry on November 9, 2017.

Where is Kristin Fenton located?

Kristin Fenton practices at 1798 Georgia St, Alford, FL 32420. The listed phone number is (850) 526-6727.

What is Kristin Fenton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kristin Fenton enrolled in Medicare?

Yes. Kristin Fenton 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 Kristin Fenton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Fenton reassigns Medicare benefits to 4 organizations: ER Physician Group At Jackson Hospital (Marianna, FL), Barn To Beach Health & Wellness (Marianna, FL), North Walton Rural Hospital, LLC (Defuniak Springs, FL) and Emergency Medicine Services Of Fl, LLC (Aventura, FL). 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 Kristin Fenton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristin Fenton accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Kristin Fenton 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 Kristin Fenton affiliated with any hospitals?

According to CMS data, Kristin Fenton is affiliated with Hca Florida Gulf Coast Hospital.

When was this NPI record last updated?

The NPPES record for Kristin Fenton was last updated on January 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.