Individual provider Active NPI

Kristina M. Killen, CFNP

  • Nurse Practitioner
  • Beckley, WV
National Provider Identifier
1194764415
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53018 Issued in WV
Practice address
1710 Harper Rd
Beckley, WV 25801-3357
Phone
(304) 256-4100
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53018 WV Primary

Addresses

Primary practice location

1710 Harper Rd
Beckley, WV 25801-3357

Mailing address

825 Edward Dr
Daniels, WV 25832-9062
Phone (304) 763-1315

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VA, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20041013000885 WV Practitioner - Nurse Practitioner 9234199340 Reassigns benefits to 2 organizations
I20170306000092 VA Practitioner - Nurse Practitioner 9234199340 Reassigns benefits to 3 organizations
I20220209001858 FL Practitioner - Nurse Practitioner 9234199340

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prompt Care IncGroup PAC ID 2567693997, 8 clinicians

Practice addresses (Care Compare)

1468 Ritter Dr
Daniels, WV 25832-9356
Phone (304) 253-3860

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53018WVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greenbrier Emergency Services, Inc. Nurse Practitioner CurrentSince Aug 7, 2024 Accepting new patients
Emergency Coverage, LLC Nurse Practitioner CurrentSince Jul 1, 2024 Accepting new patients
Prompt Care, Inc. CurrentSince Oct 25, 2021 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Dec 1, 2021 Accepting new patients
Emergency Coverage Services, PC Nurse Practitioner CurrentSince Jan 15, 2022 Accepting new patients
Beckley Emergency Physicians LLC Nurse Practitioner Past Accepting new patients
Marshall West Virginia Ed Associates, LLC Past Accepting new patients
VH Provider Group, P.a. PastSince Feb 9, 2018 Accepting new patients
WV Emergency Physician Partners PLLC Past Accepting new patients
Mountain State ENT & Facial Plastic Surgery, Inc PastSince Mar 1, 2020 Accepting new patients
Cherokee Emergency Services, Inc. Nurse Practitioner Past Accepting new patients
Southeastern Emergency Physicians LLC Nurse Practitioner Past Accepting new patients
Elm Emergency Group PLLC Nurse Practitioner Past Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641

1468 Ritter Dr
Daniels, WV 25832
Phone (304) 253-2860

703 Ritter Dr
Glen Morgan, WV 25813
Phone (304) 253-2860

20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101

601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156

Interoperability endpoints

  • Direct secure messaging: kristina.killen.1@32403.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1194764415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 EDWARD DR",
            "city": "DANIELS",
            "state": "WV",
            "postal_code": "258329062",
            "telephone_number": "304-763-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013357",
            "telephone_number": "304-256-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLEN",
        "first_name": "KRISTINA",
        "middle_name": "M.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "53018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.