Individual provider Active NPI

Kayla Marie Magnone, FNP

  • Family Nurse Practitioner
  • Ruckersville, VA
National Provider Identifier
1780007377
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024181160 Issued in VA
Practice address
9026 Seminole TRL
Ruckersville, VA 22968-3319
Phone
(434) 985-3067
NPI assigned
Feb 2, 2014
Last updated
Jan 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024181160 VA Primary

Addresses

Primary practice location

9026 Seminole TRL
Ruckersville, VA 22968-3319

Mailing address

3383 Turnberry Cir
Charlottesville, VA 22911-7485
Phone (724) 875-3256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, VA, DC3 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
I20140619002186 TX Practitioner - Nurse Practitioner 1658595343 Reassigns benefits to 1 organization
I20211104002161 VA Practitioner - Nurse Practitioner 1658595343 Reassigns benefits to 2 organizations
I20220216000925 DC Practitioner - Nurse Practitioner 1658595343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athena Medical GroupGroup PAC ID 8921358706, 43 clinicians

Practice addresses (Care Compare)

5900 Balcones Dr
Suite 100
Austin, TX 78731-4298
Phone (480) 712-8319

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024181160VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Oct 18, 2021 Accepting new patients
Athena Medical Group Family CurrentSince Aug 4, 2024 Accepting new patients
Minuteclinic Diagnostic of Virginia LLC Family CurrentSince Jan 19, 2022 Accepting new patients

Locations

16515 S 40th St
Ste 143
Phoenix, AZ 85048
Phone (602) 753-8012

5900 Balcones Dr
Ste 100
Austin, TX 78731

1636 Belle View Blvd
Alexandria, VA 22307
Phone (703) 703-7687

1221 Lee St
Charlottesville, VA 22908
Phone (434) 924-5219

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918

9026 Seminole Trl
Ruckersville, VA 22968
Phone (434) 985-3067

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1391299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1780007377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3383 TURNBERRY CIR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229117485",
            "telephone_number": "724-875-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9026 SEMINOLE TRL",
            "city": "RUCKERSVILLE",
            "state": "VA",
            "postal_code": "229683319",
            "telephone_number": "434-985-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNONE",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-02",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024181160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruckersville, VA

Sources for this page

Verify at the official NPI Registry.