Kyley Elizabeth Von Bargen

Primary specialty

Critical Care Pediatric Nurse PractitionerTaxonomy code 363LP0222X

License

0024185046 Issued in VA

Practice address

1250 E Marshall St
Richmond, VA 23298-5023

Phone

(804) 828-3033

Fax

(804) 827-4998

NPI assigned

Jan 11, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• MCV Associated Physicians

  • Anesthesiology Physician
  • Richmond, VA
  • NPI 1710959457
  Medicare reassignment NPD

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1386358554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13500 EDMONTHORPE RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231133868",
            "telephone_number": "804-212-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E MARSHALL ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232985023",
            "telephone_number": "804-828-3033",
            "fax_number": "804-827-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON BARGEN",
        "first_name": "KYLEY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "VA",
            "license": "0024185046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Vogel, LCSW
• Vohra Wound Physicians of FL, LLC
• Charles William Vokac, M.D.
• Wendy G Vokac
• Regina A. Volman, NP
• Kelley Ann Von Elten, MD
• Beatrice Von Guggenberg, LCSW
• Mackenzie Page Voncanon, PHARMD
• Hannah Vonderheide, LCSW
• Whitney E.W. Voorhees, R.D.

• Critical Care Pediatric Nurse Practitioner in Richmond, VA
• Providers in Richmond, VA by specialty
• Critical Care Pediatric Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.