Active NPI
Kristine Ann Meloche, PA-C
- Physician Assistant
- Suffolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110010201
- Practice address
- 5838 Harbour View Blvd Ste 240
Suffolk, VA 23435-2663 - Phone
- (757) 446-5600
- NPI assigned
- Dec 18, 2023
- 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 | 0110010201 | VA | Primary |
Addresses
Primary practice location
5838 Harbour View Blvd Ste 240
Suffolk, VA 23435-2663
Mailing address
5838 Harbour View Blvd Ste 240
Suffolk, VA 23435-2663
Phone (757) 483-3030
Other names 1
- Kristine Ann Heun
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
- Eastern Virginia Medical School, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 Kingsley LN
Norfolk, VA 23505-4602
Phone (757) 398-2673
3636 High St
Portsmouth, VA 23707-3236
Phone (757) 398-2222
5818 Harbour View Blvd
Suffolk, VA 23435-3315
5838 Harbour View Blvd
Suffolk, VA 23435-2663
828 Healthy Way
Suite 220B
Virginia Beach, VA 23462-7958
Phone (757) 483-3030
Hospital & facility affiliations
- Bon Secours Maryview Medical Center
- Bon Secours Harbour View Medical Center
- Sentara Leigh Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Medical Group Hampton Roads Specialty Care LLC | Current | Accepting new patients |
Locations
155 Kingsley Ln
Ste 405
Norfolk, VA 23505
Phone (757) 278-2220
150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944
5838 Harbour View Blvd
Ste 240
Suffolk, VA 23435
Phone (757) 278-2220
828 Healthy Way
Ste 220B
Virginia Beach, VA 23462
Phone (757) 673-5860
Interoperability endpoints
- kmeloche2378969@direct.bsmhealth.org
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- Richmond, VA
- NPI 1629637475
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Suffolk, VA
- NPI 1104658434
-
- General Acute Care Hospital
- Portsmouth, VA
- NPI 1750399192
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1811957681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720742400000",
"number": "1275301335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5838 HARBOUR VIEW BLVD STE 240",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234352663",
"telephone_number": "757-483-3030",
"fax_number": "757-484-7239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5838 HARBOUR VIEW BLVD STE 240",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234352663",
"telephone_number": "757-446-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELOCHE",
"first_name": "KRISTINE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-18",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110010201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTINE",
"last_name": "HEUN",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.