Kristy L Diffley, NURSE PRACTITIONER in Manassas, VA

Kristy L Diffley, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Manassas, Virginia. Her current practice location is 8640 Sudley Rd Ste 302, Manassas, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 369-5959.

Kristy L Diffley is licensed to practice in Virginia (license number 0024176464) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1154828150.

Contact Information

	Kristy L Diffley, NURSE PRACTITIONER
	8640 Sudley Rd Ste 302, Manassas, VA 20110-4404
	(703) 369-5959
	Not Available

Map and Direction

Provider's Profile

Full Name	Kristy L Diffley
Gender	Female
Speciality	Nurse Practitioner - Family
Location	8640 Sudley Rd Ste 302, Manassas, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154828150
Provider Enumeration Date: 04/07/2018
Last Update Date: 09/11/2025

Medicare PECOS Information:

PECOS PAC ID: 4385980424
Enrollment ID: I20190110003495

Medical Identifiers

Medical identifiers for Kristy L Diffley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154828150	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0024176464 (Virginia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kristy L Diffley allows following entities to bill medicare on her behalf.

Entity Name	University Of Virginia Physicians Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033138250 PECOS PAC ID: 4880590728 Enrollment ID: O20040102000780

Entity Name	Carient Heart & Vascular, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669982526 PECOS PAC ID: 4082972468 Enrollment ID: O20171229002036

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristy L Diffley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kristy L Diffley, NURSE PRACTITIONER Po Box 748613, Atlanta, GA 30384-8613 Ph: () -	Kristy L Diffley, NURSE PRACTITIONER 8640 Sudley Rd Ste 302, Manassas, VA 20110-4404 Ph: (703) 369-5959

Reviews and Comments

Nurse Practitioner Nurses in Manassas, VA

Susan Brien Campbell, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-396-5292 Fax: 703-396-5297
Shraddha Lamichhane, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10892 Caraway Cir, Manassas, VA 20109 Phone: 703-980-2783
Simon Oanhuk Choi, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8551 Rixlew Ln Ste 140, Manassas, VA 20109 Phone: 703-361-4357
Helen Karellas Bardis, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9430 Forestwood Ln, Suite 100, Manassas, VA 20110 Phone: 703-365-0227
Shahnoza Mamatova, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9600 Godwin Dr, Manassas, VA 20110 Phone: 703-396-1064
Deepika Shrestha Rajbhandary, FNP BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6360 Hoadly Rd, Manassas, VA 20112 Phone: 703-897-4961
Christien Byun, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-396-5292

Kristy L Diffley, NURSE PRACTITIONER - Medicare Nurse Practitioner in Manassas, VA