Individual provider Active NPI

Kristin Huysman Grabill, PA C

  • Physician Assistant
  • Chesapeake, VA
National Provider Identifier
1679540231
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110001726 Issued in VA
Practice address
1933 Edwin Dr Ste 208
Chesapeake, VA 23322-6531
Phone
(757) 252-5820
Fax
(757) 963-9609
NPI assigned
Mar 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110001726 VA Primary

Addresses

Primary practice location

1933 Edwin Dr Ste 208
Chesapeake, VA 23322-6531

Mailing address

1933 Edwin Dr Ste 208
Chesapeake, VA 23322-6531
Phone (757) 252-5820

Other practice location 1

1380 Tuscany Dr
Virginia Beach, VA 23456
Phone (767) 301-9220

Other identifiers 1

IdentifierTypeStateIssuer
010140285MedicaidVA

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
I20040114000259 VA Practitioner - Physician Assistant 7113828153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

1933 Edwin Dr
Chesapeake, VA 23322-6531

830 Kempsville Rd
2B223
Norfolk, VA 23502-3920
Phone (757) 261-8860

850 Kempsville Rd
Norfolk, VA 23502-3920

Hospital & facility affiliations

  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046
  • Sentara Princess Anne Hospital Hospital, Virginia Beach, VA, CCN 490119
  • Sentara Albemarle Medical Center Hospital, Elizabeth City, NC, CCN 340109
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007
  • Sentara Virginia Beach General Hospital Hospital, Virginia Beach, VA, CCN 490057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110001726VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince Sep 19, 2016 Accepting new patients

Locations

1933 Edwin Dr
Ste 208
Chesapeake, VA 23322
Phone (757) 252-5820

633 Battlefield Blvd S
Ste 300
Chesapeake, VA 23322
Phone (757) 233-4700

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

1380 Tuscany Dr
Virginia Beach, VA 23456
Phone (757) 252-9800

Interoperability endpoints

  • Direct secure messaging: kgrabill251475@direct.sentara.net

Organizations & group practices 1

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 6

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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1679540231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 EDWIN DR STE 208",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233226531",
            "telephone_number": "757-252-5820",
            "fax_number": "757-963-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 EDWIN DR STE 208",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233226531",
            "telephone_number": "757-252-5820",
            "fax_number": "757-963-9609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1380 Tuscany Dr",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "23456",
            "country_code": "US",
            "telephone_number": "767-301-9220",
            "fax_number": "757-301-9214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRABILL",
        "first_name": "KRISTIN",
        "middle_name": "HUYSMAN",
        "name_prefix": "Ms.",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110001726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010140285",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.