Individual provider Active NPI

Kendall McCracken, PA

  • Medical Physician Assistant
  • Newport News, VA
National Provider Identifier
1114600525
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
9294 Warwick Blvd
Newport News, VA 23607-1535
Phone
(757) 802-1886
NPI assigned
Aug 11, 2023
Last updated
Oct 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X NU Primary

Addresses

Primary practice location

9294 Warwick Blvd
Newport News, VA 23607-1535

Mailing address

9294 Warwick Blvd
Newport News, VA 23607-1535
Phone (757) 802-1886

Other names 1

  • Kendall Belleville Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20250313000012 VA Practitioner - Physician Assistant 7214458777 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

104 N Witchduck Rd
Virginia Beach, VA 23462-6506
Phone (757) 385-2437

157 N Main St
Suite a
Suffolk, VA 23462-6506
Phone (757) 925-1866

4714 Marshall Ave
Newport News, VA 23607-2247
Phone (757) 380-8709

9294 Warwick Blvd
Newport News, VA 23607-1535
Phone (757) 223-7001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Institute for Community Health Inc CurrentSince Jan 2, 2025 Accepting new patients
Peninsula Institute for Community Health Inc CurrentSince Jan 2, 2025 Accepting new patients
Peninsula Institute for Community Health Inc CurrentSince Jan 2, 2025 Accepting new patients
Peninsula Institute for Community Health Inc Past Accepting new patients
Peninsula Institute for Community Health Inc Past Accepting new patients
Peninsula Institute for Community Health Inc Past Accepting new patients

Locations

490 Liberty St
Chesapeake, VA 23324
Phone (757) 228-1288

1357 Armory Dr
Franklin, VA 23851
Phone (757) 304-5570

9294 Warwick Blvd
Newport News, VA 23607
Phone (757) 223-7001

15425 Warwick Blvd
Ste H
Newport News, VA 23608
Phone (757) 874-8400

1033 28th St
Fl 2
Newport News, VA 23607
Phone (757) 591-0643

7401 Warwick Blvd
Newport News, VA 23607
Phone (757) 591-0643

1033 28th St
Newport News, VA 23607
Phone (757) 591-0643

4714 Marshall Ave
Newport News, VA 23607
Phone (757) 380-8709

157 N Main St
Ste A
Suffolk, VA 23434
Phone (757) 925-1866

156 Burnetts Way
Suffolk, VA 23434
Phone (757) 934-6470

104 N Witchduck Rd
Virginia Beach, VA 23462
Phone (757) 385-2437

940 General Booth Blvd
Ste A
Virginia Beach, VA 23451
Phone (757) 425-3610

Organizations & group practices 6

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

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": "1691712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1114600525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9294 WARWICK BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236071535",
            "telephone_number": "757-802-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9294 WARWICK BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236071535",
            "telephone_number": "757-802-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRACKEN",
        "first_name": "KENDALL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-11",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDALL",
            "last_name": "BELLEVILLE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.