Active NPI
Kinsey Leigh Bise, MD
- Psychiatry Physician
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101267546
- Practice address
- 1300 E. Marshall St
Richmond, VA 23298 - Phone
- (804) 828-9000
- Fax
- (804) 828-4614
- NPI assigned
- Apr 25, 2018
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0101267546 | VA | Primary |
Addresses
Primary practice location
1300 E. Marshall St
Richmond, VA 23298
Mailing address
1200 E Broad Street
West Hospital, 8TH Floor
Richmond, VA 23298
Phone (804) 828-4570
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
13901 Coalfield Commons PL
Suite 102
Midlothian, VA 23114-1219
Phone (804) 378-0800
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101267546 | VA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia South Psychiatric & Family Services | Psychiatry | Current | Accepting new patients |
| Three Rivers Treatment Center LLC | Past | Accepting new patients | |
| Virginia Commonwealth University Health System Authority | Past | Accepting new patients |
Locations
13901 Coalfield Commons Pl
Ste 102
Midlothian, VA 23114
Phone (804) 378-0800
269 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 861-0700
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72142
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Petersburg, VA
- NPI 1700894466
-
dba Three Rivers Treatment Center
- Psychiatric Residential Treatment Facility
- Kenbridge, VA
- NPI 1568827780
-
dba VCU Health System Pharmacy
- Clinic Pharmacy
- Richmond, VA
- NPI 1659456077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1184112138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 E BROAD STREET",
"address_2": "WEST HOSPITAL, 8TH FLOOR",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23298",
"telephone_number": "804-828-4570",
"fax_number": "804-828-4614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 E. MARSHALL ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23298",
"telephone_number": "804-828-9000",
"fax_number": "804-828-4614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISE",
"first_name": "KINSEY",
"middle_name": "LEIGH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-25",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101267546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.