Individual provider Active NPI

Kristine Catherine Timerson

  • Family Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1285127019
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024176383 Issued in VA
Practice address
1101 Sam Perry Blvd Ste 207
Fredericksburg, VA 22401-4465
Phone
(540) 741-4332
NPI assigned
Jun 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001227919 VA
Family Nurse Practitioner 363LF0000X 0024176383 VA Primary

Addresses

Primary practice location

1101 Sam Perry Blvd Ste 207
Fredericksburg, VA 22401-4465

Mailing address

1101 Sam Perry Blvd Ste 207
Fredericksburg, VA 22401-4465
Phone (540) 741-4332

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
I20181207001764 VA Practitioner - Nurse Practitioner 2365786910 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Washington Healthcare Providers LLCGroup PAC ID 1456629369, 264 clinicians
Mary Washington Hospital IncGroup PAC ID 0446143820, 53 clinicians

Practice addresses (Care Compare)

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-4350

1201 B Sam Perry Blvd
Suite 280
Fredericksburg, VA 22401-8457
Phone (540) 741-5502

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001227919VAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Cardiac and Vascular LLC CurrentSince Oct 1, 2020 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Jul 10, 2023 Accepting new patients
Mary Washington Healthcare Providers LLC CurrentSince Nov 27, 2019 Accepting new patients
Pathology Associates of Fredericksburg PTR Current Accepting new patients
Mary Washington Hospital, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Mary Washington Hospital Inc. CurrentSince Dec 1, 2024 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Jul 10, 2023 Accepting new patients

Locations

3687 Fettler Park Dr
Dumfries, VA 22025
Phone (540) 666-6181

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

406 Chatham Square Office Park
Fredericksburg, VA 22405
Phone (540) 300-6182

1101 Sam Perry Blvd
Ste 211
Fredericksburg, VA 22401
Phone (540) 372-7792

1101 Sam Perry Blvd
Ste 207
Fredericksburg, VA 22401
Phone (540) 372-7792

1201 Sam Perry Blvd
Ste 280
Fredericksburg, VA 22401
Phone (540) 361-2922

9530 Cosner Dr
Ste 200
Fredericksburg, VA 22408
Phone (540) 373-1331

5411D Backlick Rd
Ste 100
Springfield, VA 22151
Phone (703) 563-1575

125 Hospital Center Blvd
Stafford, VA 22554
Phone (540) 602-6500

125 Hospital Center Blvd
Ste 221
Stafford, VA 22554
Phone (540) 741-5501

Interoperability endpoints

  • Direct secure messaging: ktimerson54996@marywashingtonhealthcare.direct-ci.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1285127019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 SAM PERRY BLVD STE 207",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014465",
            "telephone_number": "540-741-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SAM PERRY BLVD STE 207",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014465",
            "telephone_number": "540-741-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMERSON",
        "first_name": "KRISTINE",
        "middle_name": "CATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001227919",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024176383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.