Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kristie Renee Wagstaff, WHNP-BC

Individual provider Women's Health Nurse Practitioner · NPI 1548560519

Mrs. Kristie Renee Wagstaff, WHNP-BC is a Nurse Practitioner in Suffolk, Virginia. Graduated from University of Missouri, Kansas City, School of Medicine in 2010, 16 years ago. Practices with Bayview Physician Services PC, a 310-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas, Missouri and Virginia.

Years since qualifying
16
Trained at
University of Missouri, Kansas City, School of Medicine
Licensed in
KS, MO, VA
In the registry since
2010
Specialties on file
3
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Practice location Address checks out

5801 Harbour View Blvd # 300
Suffolk, VA 23435-2657
Phone: (757) 673-8383
Fax: (757) 483-9350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 612 Kingsborough Sq Ste 200, Chesapeake, VA 23320-5054 — (757) 842-4120

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 0024190695 (VA)
Women's Health Nurse Practitioner Taxonomy 363LW0102X · Licence 75273 (KS)
Women's Health Nurse Practitioner Taxonomy 363LW0102X · Licence 2011009868 (MO)

Record details

NPI number1548560519
Entity typeIndividual (Type 1)
GenderFemale
Credentials WHNP-BC
Sole proprietorNo
NPI enumeratedOctober 25, 2010
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Bayview Physician Services Pc — 310 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Suffolk