Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kiersten Nicole Basciano

Individual provider Physician Assistant · NPI 1770041188

Kiersten Nicole Basciano is a Physician Assistant in North Chesterfield, Virginia. Qualified in 2020, 6 years ago. Practices with Columbia Healthcare of Central Virginia Inc, a 32-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
6
Licensed in
VA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1051 Johnston Willis Dr Ste 200
North Chesterfield, VA 23235-4871
Phone: (804) 320-2705
Fax: (804) 330-2433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2151 Old Brick Rd, Glen Allen, VA 23060-5837 — (410) 200-6638

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110007461 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1770041188
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 5, 2019
Last updated in NPPESOctober 6, 2020
Certification dateOctober 6, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Columbia Healthcare Of Central Virginia Inc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in North Chesterfield