Individual provider Active NPI

Kristen Bagley, FNP-C

  • Family Nurse Practitioner
  • Hopewell, VA
National Provider Identifier
1205703493
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024195140 Issued in VA
Practice address
201 Eppes St
Hopewell, VA 23860-2717
Phone
(804) 541-1445
NPI assigned
Oct 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024195140 VA Primary

Addresses

Primary practice location

201 Eppes St
Hopewell, VA 23860-2717

Mailing address

15207 Fairen LN
South Chesterfield, VA 23834-6854
Phone (434) 960-8703

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
I20251117003147 VA Practitioner - Nurse Practitioner 5698266781 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Virginia Commonwealth University, School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pai Participant 1 LLCGroup PAC ID 8123351954, 174 clinicians
Virginia Internal Medicine IncGroup PAC ID 4082869250, 101 clinicians

Practice addresses (Care Compare)

110 Spanish Oak Rd
Stephens City, VA 22655-4042
Phone (540) 660-3183

201 Eppes St
Hopewell, VA 23860-2717
Phone (804) 541-1445

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024195140VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP CurrentSince Jan 29, 2026 Accepting new patients
Virginia Internal Medicine Inc CurrentSince Oct 21, 2025 Accepting new patients
Virginia Internal Medicine, PC and Urgent Care Services, Inc. Past Accepting new patients

Locations

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

201 Eppes St
Hopewell, VA 23860
Phone (804) 452-3102

46 Diamond Dr
North Dinwiddie, VA 23803
Phone (804) 518-0780

46531 Leesburg Pike
Sterling, VA 20164
Phone (703) 834-5800

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.

NPI Registry JSON

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

{
    "created_epoch": "1761004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1205703493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15207 FAIREN LN",
            "city": "SOUTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "238346854",
            "telephone_number": "434-960-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 EPPES ST",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238602717",
            "telephone_number": "804-541-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGLEY",
        "first_name": "KRISTEN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024195140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell, VA

Sources for this page

Verify at the official NPI Registry.