Individual provider Active NPI

Kirstin Taylor, PA-C

  • Medical Physician Assistant
  • Winchester, VA
National Provider Identifier
1699159194
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA057621 Issued in PA
Practice address
207 Gateway Dr
Winchester, VA 22603-5835
Phone
(540) 535-1029
NPI assigned
Jul 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA057621 PA Primary

Addresses

Primary practice location

207 Gateway Dr
Winchester, VA 22603-5835

Mailing address

785 5TH Ave
Chambersburg, PA 17201-4232
Phone (717) 263-9555

Other practice location 1

1000 Norland Avenue
Chambersburg, PA 17201
Phone (717) 267-6363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, SC, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20170103000031 WV Practitioner - Physician Assistant 2668788613 Reassigns benefits to 1 organization
I20191007003498 SC Practitioner - Physician Assistant 2668788613 Reassigns benefits to 1 organization
I20210423002341 VA Practitioner - Physician Assistant 2668788613 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3279SCMDContractor
MA057621PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Virginia CurrentSince Mar 13, 2021 Accepting new patients
Medcare Express - North Charleston LLC CurrentSince Sep 21, 2019 Accepting new patients
Medexpress Urgent Care, PC - Virginia CurrentSince Mar 13, 2021 Accepting new patients
West Virginia University Medical Corporation CurrentSince Nov 14, 2016 Accepting new patients
West Virginia University Medical Corporation CurrentSince Nov 14, 2016 Accepting new patients

Locations

8720 Dorchester Rd
North Charleston, SC 29420
Phone (843) 552-3629

1336 W Main St
Salem, VA 24153
Phone (540) 389-0374

207 Gateway Dr
Winchester, VA 22603
Phone (540) 535-1029

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1699159194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 5TH AVE",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014232",
            "telephone_number": "717-263-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 GATEWAY DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226035835",
            "telephone_number": "540-535-1029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Norland Avenue",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "17201",
            "country_code": "US",
            "telephone_number": "717-267-6363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KIRSTIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA057621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.