MS. KRISTINE ANN DUNCAN NP-C
NPI 1316415573
Nurse Practitioner - Family in Hampton, VA

Active since November 06, 2018PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
4000 COLISEUM DR STE 445, HAMPTON, VA 23666(757) 827-2127(757) 827-2255 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Kristine Ann Duncan Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KRISTINE ANN DUNCAN NP-C (NPI 1316415573) is an individual family provider in Hampton, Virginia, licensed in Virginia (0024176867) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with Mary Immaculate Hospital, and maintains a secondary practice location in Chesapeake.

NPPES Registry Identity

NPI1316415573
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. KRISTINE ANN DUNCANCredential: NP-C
Location Address4000 COLISEUM DR STE 445Hampton, VA 23666-5981
Mailing Address606 Blackthorne CtChesapeake, VA 23322-9087 · (516) 729-3009
Fax(757) 827-2255
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 6, 2018
Last NPPES UpdateJune 21, 2022
NPPES CertifiedJune 21, 2022
NPI 1316415573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in VA · 0024176867
4000 COLISEUM DR STE 445, Hampton, VA 23666

Secondary Practice Location 1

Location 14053 Taylor RdChesapeake, VA 23321-5537 · Phone (757) 484-6900

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Kristine Ann Duncan Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668719964
PECOS Enrollment IDI20190124001469
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital inpatient care per day, typically 70 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
58 services58 patients
Initial hospital inpatient care per day, typically 50 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mary Immaculate Hospital

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490041
Location2 Bernardine DriveNewport News, VA 23602 · Newport News City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23666 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers23 claims23 services$59.88 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
4000 COLISEUM DR STE 445
HAMPTON, VA 23666
Internal Medicine
4000 COLISEUM DR STE 445
HAMPTON, VA 23666
Family Medicine
4000 COLISEUM DR STE 445
HAMPTON, VA 23666
Physician Assistant
4000 COLISEUM DR STE 445
HAMPTON, VA 23666
Nurse Practitioner (Acute Care)
4000 COLISEUM DR STE 445
HAMPTON, VA 23666
Internal Medicine
4000 COLISEUM DR STE 445
HAMPTON, VA 23666
Internal Medicine
4000 COLISEUM DR STE 445
HAMPTON, VA 23666
Family Medicine
4000 COLISEUM DR STE 445
HAMPTON, VA 23666

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristine Duncan's NPI number?

The NPI number for Kristine Duncan is 1316415573. It was assigned to this individual provider in the NPPES registry on November 6, 2018.

Where is Kristine Duncan located?

Kristine Duncan practices at 4000 Coliseum Dr Ste 445, Hampton, VA 23666. The listed phone number is (757) 827-2127.

What is Kristine Duncan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kristine Duncan enrolled in Medicare?

Yes. Kristine Duncan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kristine Duncan affiliated with any hospitals?

According to CMS data, Kristine Duncan is affiliated with Mary Immaculate Hospital.

When was this NPI record last updated?

The NPPES record for Kristine Duncan was last updated on June 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.