Mrs Kristie Renee Wagstaff, WHNP-BC in Suffolk, VA

Mrs Kristie Renee Wagstaff, WHNP-BC is a medicare enrolled "Nurse Practitioner - Women's Health" in Suffolk, Virginia. Her current practice location is 5801 Harbour View Blvd # 300, Suffolk, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 673-8383.

Mrs Kristie Renee Wagstaff is licensed to practice in Virginia (license number 0024190695) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1548560519.

Contact Information

	Mrs Kristie Renee Wagstaff, WHNP-BC
	5801 Harbour View Blvd # 300, Suffolk, VA 23435-2657
	(757) 673-8383
	(757) 483-9350

Map and Direction

Provider's Profile

Full Name	Mrs Kristie Renee Wagstaff
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	5801 Harbour View Blvd # 300, Suffolk, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548560519
Provider Enumeration Date: 10/25/2010
Last Update Date: 09/12/2024

Medicare PECOS Information:

PECOS PAC ID: 2466772561
Enrollment ID: I20150728004995

Medical Identifiers

Medical identifiers for Mrs Kristie Renee Wagstaff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548560519	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	0024190695 (Virginia)	Primary
363LW0102X	Nurse Practitioner - Women's Health	75273 (Kansas)	Secondary
363LW0102X	Nurse Practitioner - Women's Health	2011009868 (Missouri)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Kristie Renee Wagstaff allows following entities to bill medicare on her behalf.

Entity Name	Truman Medical Center Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144207937 PECOS PAC ID: 7315841418 Enrollment ID: O20031120000847

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kristie Renee Wagstaff is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Kristie Renee Wagstaff, WHNP-BC 109 Pintail Dr, Suffolk, VA 23435-3724 Ph: (913) 240-6203	Mrs Kristie Renee Wagstaff, WHNP-BC 5801 Harbour View Blvd # 300, Suffolk, VA 23435-2657 Ph: (757) 673-8383

Reviews and Comments

Nurse Practitioner Nurses in Suffolk, VA

Meagan Emily Keaton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5833 Harbour View Blvd Ste B, Suffolk, VA 23435 Phone: 757-337-4018 Fax: 577-337-4019
Mrs. Christianne Hayes, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2897 Bridge Rd, Suffolk, VA 23435 Phone: 757-484-7248 Fax: 757-484-8316
Melanie Bjorkman, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5838 Harbour View Blvd Ste 240, Suffolk, VA 23435 Phone: 505-688-5823
Sara Eliza Munoz, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7185 Harbour Towne Pkwy S Ste 200, Suffolk, VA 23435 Phone: 574-575-1007 Fax: 757-961-3696
D'ericka L Fulgham-artis, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2800 Godwin Blvd, Suffolk, VA 23434 Phone: 757-934-4000
Jamie Deputy, MSN, APRN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1577 Wilroy Rd Ste 102, Suffolk, VA 23434 Phone: 757-204-5775
Michelle Melton, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2790 Godwin Blvd Ste 205, Suffolk, VA 23434 Phone: 757-942-2566

Mrs Kristie Renee Wagstaff, WHNP-BC - Medicare Nurse Practitioner in Suffolk, VA