Individual provider Active NPI

Kristen M Holck Kobulnicky, NP

  • Acute Care Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1942589437
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0024169604 Issued in VA
Practice address
1250 E Marshall St
Orthopaedic Surgery
Richmond, VA 23298-5051
Phone
(804) 828-6611
Fax
(804) 828-6129
NPI assigned
Aug 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0024169604 VA Primary

Addresses

Primary practice location

1250 E Marshall St
Orthopaedic Surgery
Richmond, VA 23298-5051

Mailing address

PO Box 780125
Philadelphia, PA 19178-0125
Phone (804) 922-4844

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
I20210222001460 VA Practitioner - Nurse Practitioner 5991942963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians

Practice addresses (Care Compare)

332 N Henry St
Williamsburg, VA 23185-4117
Phone (757) 220-1246

Hospital & facility affiliations

  • Medical College of Virginia Hospitals Hospital, Richmond, VA, CCN 490032
  • Vcu Health Tappahannock Hospital Hospital, Tappahannock, VA, CCN 490084

Merit-based Incentive Payment System (MIPS)

Final score
83.95 of 100Reported as group
Quality
69.91
Promoting interoperability
99
Improvement activities
40
Cost
77.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024169604VAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCV Associated Physicians CurrentSince Dec 27, 2020 Accepting new patients

Locations

13048 Rivers Bend Rd
Chester, VA 23836
Phone (804) 530-0300

325 Charles H Dimmock Pkwy
Ste 100
Colonial Heights, VA 23834
Phone (804) 524-4077

131 Jennick Dr
Colonial Hgts, VA 23834
Phone (804) 562-5888

10528 Spotsylvania Ave
Fredericksburg, VA 22408
Phone (540) 891-3173

9000 Stony Point Pkwy
Richmond, VA 23235
Phone (804) 560-8906

1000 E Broad St
Richmond, VA 23219

11958 W Broad St
Richmond, VA 23233
Phone (804) 360-4669

1300 W Broad St
Ste 113
Richmond, VA 23284
Phone (804) 828-0822

417 N 11th St
Richmond, VA 23298
Phone (804) 828-0733

1200 E Marshall St
Richmond, VA 23298
Phone (804) 827-0561

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

1001 E Leigh St
Richmond, VA 23298
Phone (804) 628-7497

1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990

1755 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 584-2273

618 Hospital Rd
#2
Tappahannock, VA 22560

300 Mt Clement Park
Ste B
Tappahannock, VA 22560
Phone (804) 443-8670

332 N Henry St
Williamsburg, VA 23185
Phone (757) 220-1246

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 3

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": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1942589437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780125",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191780125",
            "telephone_number": "804-922-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E MARSHALL ST",
            "address_2": "ORTHOPAEDIC SURGERY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232985051",
            "telephone_number": "804-828-6611",
            "fax_number": "804-828-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLCK KOBULNICKY",
        "first_name": "KRISTEN",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-15",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024169604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.