Individual provider Active NPI

Krystin Malbon, FNP-C

  • Family Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1942858691
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024178028 Issued in VA
Practice address
324 Louisa Ave Ste 125
Virginia Beach, VA 23454-4669
Phone
(757) 402-3421
NPI assigned
Aug 27, 2019
Last updated
Nov 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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 0024178028 VA Primary

Addresses

Primary practice location

324 Louisa Ave Ste 125
Virginia Beach, VA 23454-4669

Mailing address

324 Louisa Ave Ste 125
Virginia Beach, VA 23454-4669
Phone (757) 402-3421

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
I20191111002626 VA Practitioner - Nurse Practitioner 5597197699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Sep 2, 2019 Accepting new patients
Privia Medical Group, LLC CurrentSince Sep 2, 2019 Accepting new patients

Locations

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

8644 Sudley Rd
#220
Manassas, VA 20110

1120 First Colonial Rd
Ste 100
Virginia Beach, VA 23454
Phone (757) 481-2333

324 Louisa Ave
Ste 125
Virginia Beach, VA 23454
Phone (757) 351-6400

Interoperability endpoints

  • Direct secure messaging: krystin.malbon.2@8042.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1942858691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 LOUISA AVE STE 125",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234544669",
            "telephone_number": "757-402-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 LOUISA AVE STE 125",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234544669",
            "telephone_number": "757-402-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALBON",
        "first_name": "KRYSTIN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.