Individual provider Active NPI

Kaitlyn Hope Chung, DNP, FNP-C

  • Family Nurse Practitioner
  • Newport News, VA
National Provider Identifier
1063104263
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024193729 Issued in VA
Practice address
12997 Warwick Blvd
Newport News, VA 23602-8352
Phone
(757) 369-9446
Fax
(757) 369-9554
NPI assigned
May 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0024193729 VA
Family Nurse Practitioner 363LF0000X 0024193729 VA Primary

Addresses

Primary practice location

12997 Warwick Blvd
Newport News, VA 23602-8352

Mailing address

856 J Clyde Morris Blvd Ste a
Newport News, VA 23601-1318
Phone (757) 316-5800

Other practice location 1

3321 W Mercury Blvd
Hampton, VA 23666-3806
Phone (757) 224-0056

Other practice location 2

120 Monticello Ave
Williamsburg, VA 23185-2840
Phone (757) 564-3627

Other practice location 3

6567 George Washington Memorial Hwy
Gloucester, VA 23061-3754
Phone (804) 824-9962

Other practice location 4

4740 George Washington Mem Hwy
Yorktown, VA 23692-2512
Phone (757) 890-6339

Other practice location 5

500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Phone (757) 594-2050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231215000672 MI Practitioner - Nurse Practitioner 4385093327 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epmg Southwest Michigan PLLCGroup PAC ID 2769719236, 45 clinicians

Practice addresses (Care Compare)

1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone (954) 939-5000

Hospital & facility affiliations

  • Lakeland Hospital, St Joseph Hospital, St Joseph, MI, CCN 230021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704327689MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Epmg Southwest Michigan PLLC Emergency Medicine CurrentSince Oct 30, 2023 Accepting new patients
Lakeland Community Hospital Watervliet CurrentSince Oct 2, 2024 Accepting new patients
Lakeland Community Hospital Watervliet Emergency Medicine CurrentSince Oct 2, 2024 Accepting new patients
Lakeland Medical Practices CurrentSince Oct 2, 2024 Accepting new patients
Lakeland Medical Practices CurrentSince Oct 2, 2024 Accepting new patients
Lakeland Community Hospital Watervliet Family Medicine Current Accepting new patients
Lakeland Community Hospital Watervliet CurrentSince Oct 2, 2024 Accepting new patients

Locations

2002 S 11th St
Niles, MI 49120
Phone (269) 687-0200

31 N Saint Joseph Ave
Niles, MI 49120
Phone (269) 428-2417

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

5515 Cleveland Ave
Ste 5
Stevensville, MI 49127
Phone (269) 429-9644

400 Medical Park Dr
Watervliet, MI 49098
Phone (269) 463-3111

Interoperability endpoints

  • FHIR API: https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1063104263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD STE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318",
            "telephone_number": "757-316-5800",
            "fax_number": "757-534-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12997 WARWICK BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236028352",
            "telephone_number": "757-369-9446",
            "fax_number": "757-369-9554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3321 W Mercury Blvd",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236663806",
            "country_code": "US",
            "telephone_number": "757-224-0056",
            "fax_number": "757-224-0166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Monticello Ave",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231852840",
            "country_code": "US",
            "telephone_number": "757-564-3627",
            "fax_number": "757-564-6449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6567 George Washington Memorial Hwy",
            "address_purpose": "LOCATION",
            "city": "Gloucester",
            "state": "VA",
            "postal_code": "230613754",
            "country_code": "US",
            "telephone_number": "804-824-9962",
            "fax_number": "804-824-9963",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4740 George Washington Mem Hwy",
            "address_purpose": "LOCATION",
            "city": "Yorktown",
            "state": "VA",
            "postal_code": "236922512",
            "country_code": "US",
            "telephone_number": "757-890-6339",
            "fax_number": "757-890-6260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 J Clyde Morris Blvd",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236011929",
            "country_code": "US",
            "telephone_number": "757-594-2050",
            "fax_number": "757-594-2196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "KAITLYN",
        "middle_name": "HOPE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-24",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0024193729",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024193729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.