MS. TONI F KISTNER
NPI 1497376768
Nurse Practitioner - Family in Stuarts Draft, VA

NPI Status: Active since April 28, 2020

Contact Information

24 GLOUCESTER RD
STUARTS DRAFT, VA
ZIP 24477
Phone: (540) 337-3710
Fax: (540) 337-0930

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  • Individual
  • Female
  • Years of Experience 6
  • Nurse Practitioner
  • Family
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About TONI KISTNER

This page provides the complete NPI Profile along with additional information for Toni Kistner, a provider established in Stuarts Draft, Virginia with a medical specialization in Nurse Practitioner, focusing in family and more than 6 years of experience. The healthcare provider is registered in the NPI registry with number 1497376768 assigned on April 2020. The practitioner's primary taxonomy code is 363LF0000X with license number 0024180509 (VA). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1497376768
Provider Name
MS. TONI F KISTNER
Gender
Female
Entity Type
Individual
Location Address
24 GLOUCESTER RD STUARTS DRAFT, VA 24477
Location Phone
(540) 337-3710
Location Fax
(540) 337-0930
Mailing Address
PO BOX 9007 CHARLOTTESVILLE, VA 22906
Mailing Phone
(434) 295-1000
Medical School Name
OTHER
Graduation Year
2020
Is Sole Proprietor?
No
Enumeration Date
04-28-2020
Last Update Date
01-10-2023
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A nurse practitioner (NP) like Toni Kistner is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 1240 Lee St
    Charlottesville, VA 22908
    (434) 924-9333

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
0024180509
License State
VA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163WX0200XNursing Service Providers

Registered Nurse
Oncology

0001236556 (VA)
2363LP2300XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Primary Care

0024180509 (VA)

Medicare Participation & PECOS Enrollment Status

Toni Kistner is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Toni Kistner is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8426465329

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20210319001611

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $21.72 for a new patient copayment and $24.78 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 24477 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $86.88
  • Minimum New Patient Price $56.19
  • Maximum New Patient Price $170.3
  • Average New Patient Copayment $21.72
  • Minimum New Patient Copayment $14.04
  • Maximum New Patient Copayment $42.57

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $99.13
  • Minimum Established Patient Price $18.07
  • Maximum Established Patient Price $138.91
  • Average Established Patient Copayment $24.78
  • Minimum Established Patient Copayment $4.51
  • Maximum Established Patient Copayment $34.72

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Toni Kistner is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
UNIVERSITY OF VIRGINIA MEDICAL CENTER1215 LEE STREET
CHARLOTTESVILLE, VA 22908
(434) 924-0000Acute Care Hospitals
AUGUSTA HEALTH78 MEDICAL CENTER DRIVE
FISHERSVILLE, VA 22939
(540) 332-4000Acute Care Hospitals

Reviews for MS. TONI F KISTNER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1497376768
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241876712712
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 6 + 7 + 1 + 2 + 7 + 1 + 2 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1497376768 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1346278611 GEORGE P. DAMEWOOD IV M.D.
Individual
Family Medicine24 GLOUCESTER RD
STUARTS DRAFT, VA 24477
(540) 337-3710
1205190089 JENNIFER MENTORE NP
Individual
Nurse Practitioner (Family)24 GLOUCESTER RD
STUARTS DRAFT, VA 24477
(540) 337-3710
1487729448 KATHRYN A KAHLER FNP
Individual
Nurse Practitioner24 GLOUCESTER RD
STUARTS DRAFT, VA 24477
(540) 337-3710
1760866040DR. MALLORY E FOX DNP,FNP-C
Individual
Nurse Practitioner (Family)24 GLOUCESTER RD
STUARTS DRAFT, VA 24477
(540) 337-3710
1134149206DR. SAMUEL A. HOSTETTER M.D.
Individual
Family Medicine24 GLOUCESTER RD
STUARTS DRAFT, VA 24477
(540) 337-3710
1811512841 CHRISTOPHER CALEB HELSLEY MSN
Individual
Nurse Practitioner24 GLOUCESTER RD
STUARTS DRAFT, VA 24477
(540) 337-3710
1669023107MRS. ERIKA ZANTZINGER FNP
Individual
Nurse Practitioner (Family)24 GLOUCESTER RD
STUARTS DRAFT, VA 24477
(540) 337-3710
1164083929 JUDITH JACKELYN FARIA BRICENO MD
Individual
Internal Medicine24 GLOUCESTER RD
STUARTS DRAFT, VA 24477
(540) 337-3710
1285910471 CAITLIN ANN GOING
Individual
Physician Assistant24 GLOUCESTER RD
STUARTS DRAFT, VA 24477
(540) 337-3710
1053309229 CHARLES BUCKLEY GILLOCK MD
Individual
Urology24 GLOUCESTER RD
STUARTS DRAFT, VA 24477
(540) 337-3710
1497318307DR. MORGAN BOTKIN LAYMAN MD
Individual
Family Medicine24 GLOUCESTER RD
STUARTS DRAFT, VA 24477
(540) 337-3710
1942743265 KATE HUMPHREYS FUNK FNP
Individual
Nurse Practitioner24 GLOUCESTER RD
STUARTS DRAFT, VA 24477
(540) 337-3710
1992750608MRS. DANIELLE CAFFO WELLS NP
Individual
Nurse Practitioner (Family)24 GLOUCESTER RD
STUARTS DRAFT, VA 24477
(540) 337-3710
1033199708 JEROME J HOTCHKISS JR. MD
Individual
Family Medicine24 GLOUCESTER RD
STUARTS DRAFT, VA 24477
(540) 337-3710
1750939641 RENEE DAVIS PA-C
Individual
Physician Assistant24 GLOUCESTER RD
STUARTS DRAFT, VA 24477
(540) 337-3710
1770889065 APRIL L. PIERCE N.P.
Individual
Nurse Practitioner (Family)24 GLOUCESTER RD
STUARTS DRAFT, VA 24477
(540) 337-3710
1477647857 ANN M. MOREY MD
Individual
Family Medicine24 GLOUCESTER RD
STUARTS DRAFT, VA 24477
(540) 337-3710

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497376768, enumerated in the NPI registry as an "individual" on April 28, 2020

The provider is located at 24 Gloucester Rd Stuarts Draft, Va 24477 and the phone number is (540) 337-3710

The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

The provider has more than 6 years of experience.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $86.88 with an average copayment of $21.72 for new patient appointments. Established patients should expect a typical charge of $99.13 and an average copayment of 24.78. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): UNIVERSITY OF VIRGINIA MEDICAL CENTER and AUGUSTA HEALTH. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on April 28, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.