Individual provider Active NPI

Kendra Michaela Kriener

  • Family Nurse Practitioner
  • Charlottesville, VA
National Provider Identifier
1942988233
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024187494 Issued in VA
Practice address
3263 Proffit Rd Ste 101
Charlottesville, VA 22911-5639
Phone
(434) 654-4600
NPI assigned
Jul 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 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 0024187494 VA Primary

Addresses

Primary practice location

3263 Proffit Rd Ste 101
Charlottesville, VA 22911-5639

Mailing address

3263 Proffit Rd Ste 101
Charlottesville, VA 22911-5639

Other names 1

  • Mrs. Kendra Michaela Wisinski Professional name

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
I20230913001901 VA Practitioner - Nurse Practitioner 4385008028 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
Martha Jefferson Medical Group LLCGroup PAC ID 5991889081, 197 clinicians

Practice addresses (Care Compare)

3263 Proffit Rd
Suite 201
Charlottesville, VA 22911-5639
Phone (434) 654-4600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024187494VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Martha Jefferson Medical Group LLC CurrentSince Sep 1, 2023 Accepting new patients

Locations

3263 Proffit Rd
Ste 201
Charlottesvle, VA 22911
Phone (434) 654-4600

3263 Proffit Rd
Ste 101
Charlottesvle, VA 22911
Phone (434) 654-4600

500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000

1646 Park Ridge Dr
Crozet, VA 22932
Phone (434) 654-2760

Interoperability endpoints

  • Direct secure messaging: kkriener847901@direct.sentara.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1942988233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3263 PROFFIT RD STE 101",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229115639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3263 PROFFIT RD STE 101",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229115639",
            "telephone_number": "434-654-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIENER",
        "first_name": "KENDRA",
        "middle_name": "MICHAELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024187494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDRA",
            "last_name": "WISINSKI",
            "middle_name": "MICHAELA",
            "prefix": "MRS.",
            "credential": "FNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.