Krystyna Lee Portell, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0024175928 Issued in VA

Practice address

1450 Sachem PL Unit 201
Charlottesville, VA 22901-2554

Phone

(434) 973-9744

NPI assigned

Aug 30, 2018

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.

• Advanced Pain Management of Virginia LLC

  • General Practice Physician
  • Charlottesville, VA
  • NPI 1700637592
  Medicare reassignment NPD
• Integrated Wound Care Virginia PLLC

  • General Practice Physician
  • Roanoke, VA
  • NPI 1407498397
  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  Nurse Practitioner, VA

  Medicare reassignment NPD

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1669954335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 TILMAN RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229016337",
            "telephone_number": "434-242-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 SACHEM PL UNIT 201",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012554",
            "telephone_number": "434-973-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTELL",
        "first_name": "KRYSTYNA",
        "middle_name": "LEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024175928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Poole, MD
• John James Popovich, MD
• Larissa Popp
• Sequoyah Kammie Portee
• Craig Anthony Portell, M.D.
• Jonathan Terrell Porter
• Martina D Porter, FNP
• Maryfrances R Porter, PHD
• Patricia Porterfield, M.S.W.
• Didier Portilla, M.D.

• Nurse Practitioner in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; 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.