Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KRISTINA ALISON FAN
NPI 1700701307
Physician Assistant - Medical in Orlando, FL

Q: What is Kristina Fan's NPI number?

The NPI number for Kristina Fan is 1700701307. It was assigned to this individual provider in the NPPES registry on August 12, 2026.

Q: What is Kristina Fan'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 Kristina Fan was last updated on November 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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 August 12, 2026PECOS Enrolled

1222 S ORANGE AVE, ORLANDO, FL 32806(407) 539-2100 Get Directions Write a Review

NPPES record last updated: November 2, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 2, 2026, Sep 30, 2026, Aug 12, 2026 (3 updates tracked since 2026).

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About Kristina Alison Fan NPPES

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

KRISTINA ALISON FAN (NPI 1700701307) is an individual medical provider in Orlando, Florida, licensed in Florida (PA9122402) and active in the NPI registry since August 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700701307

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameKRISTINA ALISON FAN

Location Address1222 S ORANGE AVEOrlando, FL 32806-1215

Mailing Address1222 S Orange Ave Fl 3Orlando, FL 32806-1215 · (321) 841-6444 · Fax (407) 650-1307

Phone(407) 539-2100

Sole ProprietorNo

Enumeration DateAugust 12, 2026

Last NPPES UpdateNovember 2, 20263 updates tracked since enumeration

NPPES CertifiedNovember 2, 2026

✔ NPI 1700701307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363AM0700X

License✔ Licensed in FL · PA9122402

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA9122402 (FL)

1222 S ORANGE AVE, Orlando, FL 32806

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristina Alison Fan 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.

BRYAN DAVID BROWN MD

Orthopaedic Surgery (Hand Surgery)

1222 S ORANGE AVE, 5TH FLOOR
ORLANDO, FL 32806

Orange County (321) 841-1764

KAREN LEONIA WALKER M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)