KRYSTAL DENISE JAMES NP-C
NPI 1801395447
Nurse Practitioner in Winchester, VA

Active since February 09, 2018PECOS EnrolledAccepts Medicare Assignment
125A MEDICAL CIR, WINCHESTER, VA 22601(540) 667-1828 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 24, 2023, Jan 21, 2022, Mar 20, 2021 and 1 more (4 updates tracked since 2020).

About Krystal Denise James Np-c NPPES

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

KRYSTAL DENISE JAMES NP-C (NPI 1801395447) is an individual nurse practitioner in Winchester, Virginia, licensed in Virginia (0024175856) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and maintains a secondary practice location in Winchester.

NPPES Registry Identity

NPI1801395447
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKRYSTAL DENISE JAMESCredential: NP-C
Location Address125A MEDICAL CIRWinchester, VA 22601-3322
Mailing Address125a Medical CirWinchester, VA 22601-3322
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 9, 2018
Last NPPES UpdateFebruary 24, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2023
NPI 1801395447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in VA · 0024175856
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

125A MEDICAL CIR, Winchester, VA 22601

Secondary Practice Location 1

Location 11830 Amherst StWinchester, VA 22601-2808 · Phone (540) 667-1828

Accepted Insurance

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

Krystal Denise James 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 ID4688938590
PECOS Enrollment IDI20180501000844
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

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
17 services16 patients

Hospital Affiliations CMS Care Compare

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490005
Location1840 Amherst StWinchester, VA 22601 · Winchester City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22601 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.

Other Providers at the Same Location NPPES 16

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

Registered Nurse (Obstetric, Inpatient)
125A MEDICAL CIR
WINCHESTER, VA 22601
Nurse Practitioner (Family)
125A MEDICAL CIR, WINCHESTER NEUROLOGICAL CONSULTANTS
WINCHESTER, VA 22601
Nurse Practitioner (Family)
125A MEDICAL CIR
WINCHESTER, VA 22601
Psychiatry & Neurology (Neurology)
125A MEDICAL CIR
WINCHESTER, VA 22601
Physician Assistant
125A MEDICAL CIR
WINCHESTER, VA 22601
Nurse Practitioner
125A MEDICAL CIR
WINCHESTER, VA 22601
Nurse Practitioner
125A MEDICAL CIR
WINCHESTER, VA 22601
Psychiatry & Neurology (Clinical Neurophysiology)
125A MEDICAL CIR
WINCHESTER, VA 22601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801395447, enumerated as an "individual" on February 09, 2018.

The provider is located at 125A MEDICAL CIR WINCHESTER, VA 22601 and the phone number is (540) 667-1828.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to verify.

Krystal James is affiliated with: WINCHESTER MEDICAL CENTER.