Individual provider Active NPI

Andrea Kysor, FNP-C

  • Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1851814909
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024174955 Issued in VA
Practice address
5922 W Broad St
Richmond, VA 23230-2231
Phone
(804) 282-6953
Fax
(804) 282-8215
NPI assigned
Jul 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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 0024174955 VA Primary

Addresses

Primary practice location

5922 W Broad St
Richmond, VA 23230-2231

Mailing address

5922 W Broad St
Richmond, VA 23230-2231

Other practice location 1

8200 Meadowbridge Rd Ste 200
Mechanicsville, VA 23116-2337
Phone (804) 730-2121

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address akysor16478@direct.orthovirginia.com Other

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
I20170913002593 VA Practitioner - Nurse Practitioner 3577836535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.85 of 100Reported as group
Quality
90.74
Promoting interoperability
100
Improvement activities
40
Cost
78.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024174955VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orthovirginia Inc Nurse Practitioner Current Accepting new patients
Orthovirginia, Inc. Nurse Practitioner CurrentSince Sep 16, 2018 Accepting new patients
Orthovirginia, Inc CurrentSince Sep 16, 2018 Accepting new patients

Locations

8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595

1115 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 327-9242

1115 Boulders Pkwy
Ste 100
North Chesterfield, VA 23225
Phone (804) 320-1339

Interoperability endpoints

  • Direct secure messaging: akysor16478@direct.orthovirginia.com
  • FHIR API: https://epicproxy.et1015.epichosted.com/FHIRProxy/api/FHIR/R4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1851814909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5922 W BROAD ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5922 W BROAD ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302231",
            "telephone_number": "804-282-6953",
            "fax_number": "804-282-8215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8200 Meadowbridge Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Mechanicsville",
            "state": "VA",
            "postal_code": "231162337",
            "country_code": "US",
            "telephone_number": "804-730-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KYSOR",
        "first_name": "ANDREA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-20",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024174955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akysor16478@direct.orthovirginia.com",
            "affiliation": "N",
            "endpointDescription": "Dr. Kysor direct address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "secure messaging",
            "address_1": "8200 Meadowbridge Rd Ste 200",
            "city": "Mechanicsville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231162337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.