Individual provider Active NPI

Madeline Kinkoph, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Aldie, VA
National Provider Identifier
1235823790
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024187704 Issued in VA
Practice address
24560 Southpoint Dr Ste 260
Aldie, VA 20105-3505
Phone
(571) 248-7472
Fax
(571) 248-7493
NPI assigned
Jun 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4030758 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0038009 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024187704 VA Primary

Addresses

Primary practice location

24560 Southpoint Dr Ste 260
Aldie, VA 20105-3505

Mailing address

24560 Southpoint Dr Ste 260
Aldie, VA 20105-3505
Phone (571) 248-7472

Other practice location 1

1530 Lone Oak Rd
Paducah, KY 42003-7901
Phone (513) 853-8520

Other practice location 2

100 Medical Center Dr
Springfield, OH 45504-2687
Phone (513) 853-8520

Other practice location 3

830 W High St
Lima, OH 45801-3971
Phone (513) 853-8520

Other practice location 4

1701 Mercy Health Pl
Cincinnati, OH 45237-6147
Phone (513) 853-8520

Other practice location 5

8580 Magellan Pkwy
Richmond, VA 23227-1149
Phone (513) 853-8520

Other practice location 6

7025 Harbour View Blvd Ste 118
Suffolk, VA 23435-2762
Phone (513) 853-8520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, KY, OH4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20230918002048 VA Practitioner - Nurse Practitioner 7911361423 Reassigns benefits to 4 organizations
I20240725001373 DC Practitioner - Nurse Practitioner 7911361423 Reassigns benefits to 4 organizations
I20250109000742 KY Practitioner - Nurse Practitioner 7911361423 Reassigns benefits to 1 organization
I20250221001502 OH Practitioner - Nurse Practitioner 7911361423 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Associates in Psychiatry PCGroup PAC ID 7113165739, 127 clinicians
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

24560 Southpoint Dr
Suite 260
Aldie, VA 20105-3505
Phone (571) 248-7493

2501 N Glebe Rd
Suite 303
Arlington, VA 22207-3558
Phone (703) 841-1290

2501 Parkers LN
Alexandria, VA 22306-3209
Phone (703) 664-7000

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 771-2960

8505 Arlington Blvd
Fairfax, VA 22031-4630

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Mar 2, 2025 Accepting new patients
Mercy Health Physicians North Specialty Care LLC Nurse Practitioner CurrentSince Apr 28, 2025 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Apr 28, 2025 Accepting new patients
Connections Healthva, LLC CurrentSince Dec 2, 2024 Accepting new patients
Connections Healthva, LLC CurrentSince Dec 2, 2024 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC Nurse Practitioner Current Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Mar 2, 2025 Accepting new patients
Columbia Associates in Psychiatry PC Psychiatric/Mental Health CurrentSince Aug 7, 2023 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Apr 28, 2025 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Mar 2, 2025 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC Nurse Practitioner CurrentSince Mar 2, 2025 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC Nurse Practitioner CurrentSince Mar 2, 2025 Accepting new patients
Moonshot Psychiatric Nurse Practitioner PC Psychiatric/Mental Health CurrentSince Jan 5, 2026 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Apr 28, 2025 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Mar 2, 2025 Accepting new patients
Mercy Health Physicians Kentucky LLC Nurse Practitioner Past Accepting new patients

Locations

1205 S 7th Ave
Ste 105
Phoenix, AZ 85007
Phone (602) 416-7647

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000

2200 Jefferson Ave
Toledo, OH 43604
Phone (419) 241-1400

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

24560 Southpoint Dr
Ste 260
Aldie, VA 20105
Phone (571) 248-7472

2501 N Glebe Rd
Ste 303
Arlington, VA 22207
Phone (703) 485-9519

14554 Lee Rd
Chantilly, VA 20151
Phone (703) 543-9948

2960 Sleepy Hollow Rd
Falls Church, VA 22044
Phone (703) 304-7764

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

8580 Magellan Pkwy
Richmond, VA 23227
Phone (804) 627-5462

24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696

7025 Harbour View Blvd
Ste 118
Suffolk, VA 23435

Organizations & group practices 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1235823790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24560 SOUTHPOINT DR STE 260",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201053505",
            "telephone_number": "571-248-7472",
            "fax_number": "571-248-7493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24560 SOUTHPOINT DR STE 260",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201053505",
            "telephone_number": "571-248-7472",
            "fax_number": "571-248-7493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1530 Lone Oak Rd",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "420037901",
            "country_code": "US",
            "telephone_number": "513-853-8520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455042687",
            "country_code": "US",
            "telephone_number": "513-853-8520",
            "fax_number": "513-442-7695",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "830 W High St",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458013971",
            "country_code": "US",
            "telephone_number": "513-853-8520",
            "fax_number": "513-442-7695",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 Mercy Health Pl",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452376147",
            "country_code": "US",
            "telephone_number": "513-853-8520",
            "fax_number": "513-442-7695",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8580 Magellan Pkwy",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232271149",
            "country_code": "US",
            "telephone_number": "513-853-8520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7025 Harbour View Blvd Ste 118",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234352762",
            "country_code": "US",
            "telephone_number": "513-853-8520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINKOPH",
        "first_name": "MADELINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4030758",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0038009",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024187704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aldie, VA

Sources for this page

Verify at the official NPI Registry.