KRISTEN BRIST PA
NPI 1568494433
Physician Assistant - Medical in Fort Myers, FL

Q: What is Kristen Brist's NPI number?

The NPI number for Kristen Brist is 1568494433. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Q: What is Kristen Brist's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Kristen Brist was last updated on October 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 July 07, 2006PECOS Enrolled

13813 METRO PKWY, FORT MYERS, FL 33912(239) 936-1343(239) 936-8507 Get Directions Write a Review

NPPES record last updated: October 20, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 20, 2018, Jul 31, 2018 (2 updates tracked since 2018).

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About Kristen Brist Pa NPPES

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

KRISTEN BRIST PA (NPI 1568494433) is an individual medical provider in Fort Myers, Florida, licensed in Florida (PA9103450) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568494433

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameKRISTEN BRISTCredential: PA

Location Address13813 METRO PKWYFort Myers, FL 33912-4343

Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 424-1449 · Fax (239) 424-1421

Phone(239) 936-1343

Fax(239) 936-8507

Sole ProprietorNo

Enumeration DateJuly 7, 2006

Last NPPES UpdateOctober 20, 20182 updates tracked since enumeration

✔ NPI 1568494433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · PA9103450

13813 METRO PKWY, Fort Myers, FL 33912

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Other Identifiers 1

Medicaid010148300FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristen Brist Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MILLENNIUM PHYSICIAN GROUP LLC

Family Medicine