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

Individual provider Physician Assistant · NPI 1184339806

Kristin Whitney Anderson, PA-C is a Physician Assistant in Richmond, Virginia. Qualified in 2022, 4 years ago. Practices with Bon Secours Medical Group Richmond Primary Care LLC, a 92-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
4
Licensed in
VA
In the registry since
2023
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

12320 W Broad St Ste 204
Richmond, VA 23233-7603
Phone: (804) 612-2980
Fax: (804) 360-2437
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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 0110009113 (VA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1184339806
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 17, 2023
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Bon Secours Medical Group Richmond Primary Care Llc — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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