Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristin Marie Wyatt, PA-C

Individual provider Physician Assistant · NPI 1205457033

Kristin Marie Wyatt, PA-C is a Physician Assistant in Roanoke, Virginia. Qualified in 2020, 6 years ago. Practices with Carilion Medical Center, a 951-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
6
Licensed in
VA
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone: (540) 981-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110007697 (VA)
Physician Assistant Taxonomy 363A00000X · Licence 0110-007697 (VA)

Record details

NPI number1205457033
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 4, 2020
Last updated in NPPESSeptember 5, 2025
Certification dateSeptember 5, 2025

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 Carilion Medical Center — 951 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Roanoke