Kiersten Nicole Basciano

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110007461 Issued in VA

Practice address

1051 Johnston Willis Dr Ste 200
North Chesterfield, VA 23235-4871

Phone

(804) 320-2705

Fax

(804) 330-2433

NPI assigned

Mar 5, 2019

Last updated

Oct 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Columbia Healthcare of Central Virginia IncGroup PAC ID 9234118340, 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CJW Medical Center Hospital, Richmond, VA, CCN 490112

Merit-based Incentive Payment System (MIPS)

Final score

86.71 of 100Reported as group

Quality

73.52

Promoting interoperability

99

Improvement activities

40

Cost

75.29

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Columbia Healthcare of Central Virginia Inc

  dba dba Richmond Specialty Group

  • Plastic Surgery Physician
  • Richmond, VA
  • NPI 1417946450
  Medicare reassignment Care Compare group
• Chippenham and Johnston-Willis Sports Medicine, LLC

  • Sports Medicine (Family Medicine) Physician
  • North Chesterfield, VA
  • NPI 1740229608
  Medicare reassignment

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

• Chippenham & Johnston-Willis Hospitals Inc

  dba CJW Medical Center

  • General Acute Care Hospital
  • Richmond, VA
  • NPI 1598708513
  Care Compare affiliation

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1770041188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 402924",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303842924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 JOHNSTON WILLIS DR STE 200",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354871",
            "telephone_number": "804-320-2705",
            "fax_number": "804-330-2433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2151 Old Brick Rd",
            "address_purpose": "LOCATION",
            "city": "Glen Allen",
            "state": "VA",
            "postal_code": "230605837",
            "country_code": "US",
            "telephone_number": "410-200-6638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASCIANO",
        "first_name": "KIERSTEN",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110007461",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Hudson Barnes, N.P.
• Caitlin E Barnhardt
• Katheryn Enice Barriera
• James Anthony Bartell
• Marianne Bartholomew
• Melinda Batalias
• Mackenzie Bates, DDS, MSD
• April Esther Battle
• Natalie Battle, M.ED
• Nishaun Battle, PH.D.

• Physician Assistant in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.