Active NPI
Kristin F. Story, PA
- Physician Assistant
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110003220
- Practice address
- 417 N 11TH St FL 3
Richmond, VA 23298-5002 - Phone
- (804) 828-7748
- Fax
- (804) 827-0285
- NPI assigned
- Nov 18, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110003220 | VA | Primary |
Addresses
Primary practice location
417 N 11TH St FL 3
Richmond, VA 23298-5002
Mailing address
PO Box 91734
Richmond, VA 23291-1734
Phone (804) 358-6100
Other practice location 1
11958 W Broad St
Henrico, VA 23233-1007
Phone (804) 360-4669
Other practice location 2
9109 Stony Point Dr
Richmond, VA 23235-1979
Phone (804) 827-8000
Other practice location 3
2035 Waterside Rd Ste 100
Prince George, VA 23875-1265
Phone (804) 957-6287
Other practice location 4
1250 E Marshall St
Richmond, VA 23298-5051
Phone (804) 828-7748
Other names 1
- Kristin G Fowler
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1250 E Marshall St
Richmond, VA 23298-5051
401 N 11TH St
Richmond, VA 23219-1914
Phone (804) 828-8737
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.95 of 100
- Quality
- 69.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110003220 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Healthcare of Central Virginia Inc | Past | Accepting new patients | |
| Virginia Emergency Physicians LLP | Physician Assistant | Past | Accepting new patients |
| Virginia Emergency Physicians LLP | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba dba Richmond Specialty Group
- Plastic Surgery Physician
- Richmond, VA
- NPI 1417946450
-
- Emergency Medicine Physician
- Richmond, VA
- NPI 1134475999
-
- Emergency Medicine Physician
- Richmond, VA
- NPI 1245255264
Physician Assistant
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Medical College of Virginia Hospitals
- General Acute Care Hospital
- Richmond, VA
- NPI 1013091727
-
dba VCU Medical Center
- General Acute Care Hospital
- Richmond, VA
- NPI 1437175734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1174851877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 91734",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232911734",
"telephone_number": "804-358-6100",
"fax_number": "804-342-7619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 N 11TH ST FL 3",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232985002",
"telephone_number": "804-828-7748",
"fax_number": "804-827-0285"
}
],
"practiceLocations": [
{
"address_1": "11958 W Broad St",
"address_purpose": "LOCATION",
"city": "Henrico",
"state": "VA",
"postal_code": "232331007",
"country_code": "US",
"telephone_number": "804-360-4669",
"fax_number": "804-827-0285",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9109 Stony Point Dr",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232351979",
"country_code": "US",
"telephone_number": "804-827-8000",
"fax_number": "804-827-0285",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2035 Waterside Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Prince George",
"state": "VA",
"postal_code": "238751265",
"country_code": "US",
"telephone_number": "804-957-6287",
"fax_number": "804-827-0285",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1250 E Marshall St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985051",
"country_code": "US",
"telephone_number": "804-828-7748",
"fax_number": "804-827-0285",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STORY",
"first_name": "KRISTIN",
"middle_name": "F.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110003220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "FOWLER",
"middle_name": "G",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Richmond, VA
- Stony Point Family Eyecare, Inc. (Stony Point Family EyeCare)
- Stony Point Surgery Center (West Creek Surgery Center)
- Stony Point Surgery Center, L.L.C
- Stony Point Surgery Center,L.L.C (Stony Point Anesthesia)
- Karmen Story, LCSW, CSOTP
- L. Woodrow Story Jr., OPTOMETRIST
- Lauren Story, NP
- Sarah Story, NP
- Anita Stoudmire
- Barbara A Stout, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.