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

Kristi Vergena Mizelle, MD

Individual provider Rheumatology Physician · NPI 1457490955

Kristi Vergena Mizelle, MD is a Rheumatology in Newport News, Virginia. Graduated from University of Virginia School of Medicine in 2005, 21 years ago. Practices with Tidewater Physicians Multispecialty Group, PC, a 269-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
21
Trained at
University of Virginia School of Medicine
Licensed in
ND
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

704 Thimble Shoals Blvd Bldg 300 A
Newport News, VA 23606-4544
Phone: (757) 595-4300
Fax: (757) 591-9297
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rheumatology Physician (primary) Taxonomy 207RR0500X · Licence LT24409 (ND)

Record details

NPI number1457490955
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 5, 2007
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026

Medicare enrollment

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

Medicare specialtyRHEUMATOLOGY
Medical schoolUNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Tidewater Physicians Multispecialty Group, Pc — 269 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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