KPNP
NPI 1356992853
Nurse Practitioner - Family in Mechanicsville, VA
About Kpnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KPNP (NPI 1356992853) is a healthcare organization registered as a family in Mechanicsville, Virginia and active in the NPI registry since September 2019. The organization lists Kathleen M Pack, Authorized Official/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kpnp, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Kpnp's NPI number?
The NPI number for Kpnp is 1356992853. It was assigned to this organization in the NPPES registry on September 25, 2019.
Where is Kpnp located?
Kpnp is located at 8353 Dusty Ln, Mechanicsville, VA 23116. The listed phone number is (804) 617-0687.
What is Kpnp's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kpnp enrolled in Medicare?
Yes. Kpnp is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kpnp?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Kpnp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kpnp was last updated on September 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kpnp · NPI 1356992853
Family organization in Mechanicsville, Virginia. Organization record, active in the CMS NPPES registry since September 25, 2019.
## Identity
- **NPI:** 1356992853 (Entity type: Organization)
- **Enumerated:** September 25, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Kathleen Pack, AUTHORIZED OFFICIAL/OWNER
## Practice location
- **Address:** 8353 DUSTY LN, Mechanicsville, VA 23116-2406
- **Phone:** (804) 617-0687 · **Fax:** (804) 282-9135
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 25, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1356992853) · Data from the CMS NPPES public registry.