Individual provider Active NPI

Melissa Jean Kistner, FNP-BC

  • Nurse Practitioner
  • Hampton, VA
National Provider Identifier
1679051106
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024176462 Issued in VA
Practice address
901 Enterprise Pkwy Ste 300
Hampton, VA 23666-6249
Phone
(757) 825-2500
NPI assigned
Aug 6, 2018
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024176462 VA Primary

Addresses

Primary practice location

901 Enterprise Pkwy Ste 300
Hampton, VA 23666-6249

Mailing address

901 Enterprise Pkwy Ste 300
Hampton, VA 23666-6249
Phone (757) 825-2500

Other practice location 1

11803 Jefferson Ave Ste 260
Newport News, VA 23606-4390
Phone (757) 825-2500

Other names 1

  • Melissa Jean Grubbs Former name

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
I20190108002284 VA Practitioner - Nurse Practitioner 4284970526 Reassigns benefits to 2 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
Hampton Roads Otolaryngology Associates PLLCGroup PAC ID 7012820848, 21 clinicians

Practice addresses (Care Compare)

901 Enterprise Pkwy
Suite 300
Hampton, VA 23666-6249
Phone (757) 825-2500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.94 of 100Reported as group
Quality
82.83
Promoting interoperability
100
Improvement activities
40
Cost
76.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024176462VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brightview LLC CurrentSince Apr 1, 2022 Accepting new patients
Hampton Roads Otolaryngology Associates PLLC CurrentSince Sep 4, 2018 Accepting new patients
Brightview LLC CurrentSince Apr 1, 2022 Accepting new patients
Hampton Roads Otolaryngology Associates PLLC PastSince Sep 4, 2018 Accepting new patients

Locations

615 Elsinore Pl
Ste 200
Cincinnati, OH 45202
Phone (513) 639-2800

516 Innovation Dr
Ste 102
Chesapeake, VA 23320
Phone (757) 382-9400

5659 Parkway Dr
Ste 240
Gloucester, VA 23061
Phone (757) 825-2500

901 Enterprise Pkwy
Ste 300
Hampton, VA 23666
Phone (757) 825-2500

3704 Old Forest Rd
Lynchburg, VA 24501

1345 Plantation Rd NE
Roanoke, VA 24012
Phone (513) 843-7063

101 N Lynnhaven Rd
Ste 100
Virginia Beach, VA 23452
Phone (757) 264-9957

Interoperability endpoints

  • Direct secure messaging: mkistner@hamptonroadsent.emadirect.md

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1679051106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 ENTERPRISE PKWY STE 300",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666249",
            "telephone_number": "757-825-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ENTERPRISE PKWY STE 300",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666249",
            "telephone_number": "757-825-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11803 Jefferson Ave Ste 260",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236064390",
            "country_code": "US",
            "telephone_number": "757-825-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KISTNER",
        "first_name": "MELISSA",
        "middle_name": "JEAN",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024176462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "GRUBBS",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.