Kristen L Renzi, PA - C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0110000777 Issued in VA

Practice address

1880 Amherst Street
Suite 100 and Suite 200
Winchester, VA 22601

Phone

(540) 662-0306

Fax

(855) 264-2066

NPI assigned

Jan 12, 2006

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

Other names 1

• Kristen Keenan Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in VA, WV2 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 2

Specialty

Physician Assistant

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Valley Physician Enterprise IncGroup PAC ID 9931268091, 176 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Winchester Medical Center Hospital, Winchester, VA, CCN 490005
• Shenandoah Memorial Hospital Hospital, Woodstock, VA, CCN 491305
• Hampshire Memorial Hospital Hospital, Romney, WV, CCN 511311
• Warren Memorial Hospital Hospital, Front Royal, VA, CCN 490033
• Valley Health War Memorial Hospital Hospital, Berkeley Springs, WV, CCN 511309

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: krenzi124205@valleyhealth.direct-ci.com

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.

• Valley Physician Enterprise, Inc

  • Surgery Physician
  • Winchester, VA
  • NPI 1538316203
  Medicare reassignment Care Compare group NPD (past)
• East Mountain Health Physicians Inc.

  • Family Medicine Physician
  • Martinsburg, WV
  • NPI 1114460797
  Medicare reassignment NPD (past)
• Warren Memorial Hospital, Inc.

  • Emergency Medicine Physician
  • Front Royal, VA
  • NPI 1164442281
  Medicare reassignment
• Valley Physician Enterprise, Inc.

  • Neurological Surgery Physician
  • Winchester, VA
  • NPI 1194387647
  NPD
• Valley Physician Enterprise, Inc.

  • Obstetrics & Gynecology Physician
  • Winchester, VA
  • NPI 1255222535
  NPD
• Warren Memorial Hospital, Inc.

  • Obstetrics & Gynecology Physician
  • Front Royal, VA
  • NPI 1538654991
  NPD
• East Mountain Health Physicians, Inc.

  • Family Medicine Physician
  • Hedgesville, WV
  • NPI 1215584750
  NPD
• East Mountain Health Physicians, Inc.

  • Orthopaedic Surgery Physician
  • Martinsburg, WV
  • NPI 1437885365
  NPD
• East Mountain Health Physicians, Inc.

  • Occupational Medicine Clinic/Center
  • Ranson, WV
  • NPI 1841711512
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Shenandoah Memorial Hospital, Inc.

  • Critical Access Hospital
  • Woodstock, VA
  • NPI 1033166442
  Care Compare affiliation
• Warren Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Front Royal, VA
  • NPI 1427085232
  Care Compare affiliation
• Winchester Medical Center

  • General Acute Care Hospital
  • Winchester, VA
  • NPI 1619928017
  Care Compare affiliation
• Winchester Medical Center

  • Clinical Medical Laboratory
  • Winchester, VA
  • NPI 1790024909

  Hospital

  Care Compare affiliation
• Hampshire Memorial Hospital, Inc.

  • Critical Access Hospital
  • Romney, WV
  • NPI 1396897203
  Care Compare affiliation
• War Memorial Hospital, Inc.

  • Critical Access Hospital
  • Berkeley Springs, WV
  • NPI 1467450353
  Care Compare affiliation

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1649259102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012888",
            "telephone_number": "540-536-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 AMHERST STREET",
            "address_2": "SUITE 100 AND SUITE 200",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "22601",
            "telephone_number": "540-662-0306",
            "fax_number": "855-264-2066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Selma Dr",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226013834",
            "country_code": "US",
            "telephone_number": "540-678-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENZI",
        "first_name": "KRISTEN",
        "middle_name": "L",
        "credential": "PA - C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110000777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krenzi124205@soc.inova.org",
            "affiliation": "N",
            "address_1": "120 Campus Dr # 201",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254047552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krenzi124205@soc.inova.org",
            "affiliation": "N",
            "address_1": "1880 Amherst Street",
            "address_2": "Suite 100 and Suite 200",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "22601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "KEENAN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brandon Reitz
• Reliable Medical Transport LLC
• Reliable Transport LLC
• Jordan Remington, OTR/L
• Renal Physician Associates of Winchester PLC
• Randolph H Renzi, MD
• Meghan Replogle
• Megan Reppert, PT
• Respiratory Care Associates, LC
• Lee Resta, M.D.

• Medical Physician Assistant in Winchester, VA
• Providers in Winchester, VA by specialty
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.

Verify at the official NPI Registry.