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

Krysten M Bishop, PA

Individual provider Medical Physician Assistant · NPI 1174948889

Krysten M Bishop, PA is a Physician Assistant in Petersburg, Virginia. Qualified in 2013, 13 years ago. Practices with Southeastern Intensivist Services PC, a 237-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
13
Licensed in
VA
In the registry since
2014
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

200 Medical Park Blvd
Petersburg, VA 23805
Phone: (804) 765-5000
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0110004517 (VA)

Record details

NPI number1174948889
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 4, 2014
Last updated in NPPESMarch 4, 2014
Mailing address2920 W Grace St, Apt A, Richmond, VA 23221

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Southeastern Intensivist Services Pc — 237 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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