1. Home
  2. Directory
  3. Florida
  4. Lakeland
  5. Physician Assistant
  6. NPI Profile

KRISTEN LEIGH HERISTCHI MPH, PAC, CAQ-PSYCH
NPI 1821072190
Physician Assistant - Medical in Lakeland, FL

Active since December 01, 2005PECOS Enrolled
1801 CRYSTAL LAKE DR, LAKELAND, FL 33801(863) 709-8543 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 7, 2026, Jun 22, 2018, Sep 30, 2015 (3 updates tracked since 2015).

About Kristen Leigh Heristchi Mph, Pac, Caq-psych NPPES

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

KRISTEN LEIGH HERISTCHI MPH, PAC, CAQ-PSYCH (NPI 1821072190) is an individual medical provider in Lakeland, Florida, licensed in Florida (PA910207) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821072190
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKRISTEN LEIGH HERISTCHICredential: MPH, PAC, CAQ-PSYCH
Location Address1801 CRYSTAL LAKE DRLakeland, FL 33801-5979
Mailing Address6961 Indian Creek Park DrLakeland, FL 33813-3833 · (863) 397-4259
Phone(863) 709-8543
Sole ProprietorNo
Enumeration DateDecember 1, 2005
Last NPPES UpdateApril 7, 20263 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1821072190 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 · PA910207
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA910207 (FL)
1801 CRYSTAL LAKE DR, Lakeland, FL 33801
Open in Google Maps ↗

Other Identifiers 1

OtherE8856YFL · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Leigh Heristchi Mph, Pac, Caq-psych 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.

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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
63%43 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

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

AMANDA LYN WENDLE LMHC
Counselor (Professional)
1801 CRYSTAL LAKE DR
LAKELAND, FL 33801
Polk County (863) 709-8543
KAREN ZIMMERMAN LMHC
Counselor (Mental Health)
1801 CRYSTAL LAKE DR
LAKELAND, FL 33801
Polk County (863) 709-8543
DYLIA ROLAND
Counselor (Mental Health)
1801 CRYSTAL LAKE DR
LAKELAND, FL 33801
Polk County (863) 709-8543
TOMMY L LOUISVILLE MD PA
Non-Pharmacy Dispensing Site
1801 CRYSTAL LAKE DR
LAKELAND, FL 33801
Polk County (863) 937-8886
MR. BASIL ALEXANDER WILSON ARNP
Nurse Practitioner (Family)
1801 CRYSTAL LAKE DR
LAKELAND, FL 33801
Polk County (863) 937-8886
SHERRY MARSDEN ARNP
Nurse Practitioner (Psychiatric/Mental Health)
1801 CRYSTAL LAKE DR
LAKELAND, FL 33801
Polk County (863) 709-8543

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 Kristen Heristchi's NPI number?

The NPI number for Kristen Heristchi is 1821072190. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Kristen Heristchi located?

Kristen Heristchi practices at 1801 Crystal Lake Dr, Lakeland, FL 33801. The listed phone number is (863) 709-8543.

What is Kristen Heristchi's specialty?

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

Is Kristen Heristchi enrolled in Medicare?

Yes. Kristen Heristchi is registered in the Medicare PECOS enrollment system.

What insurance does Kristen Heristchi accept?

Health plans from UnitedHealthcare list Kristen Heristchi 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.

When was this NPI record last updated?

The NPPES record for Kristen Heristchi was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.