Nicole Elizabeth Brown · Nicole Elizabeth Kern · Physician Assistant

1101 Sam Perry Blvd Ste 314, Fredericksburg, VA 22401-4466

Overview

Nicole Elizabeth Brown is a Physician Assistant practicing in Fredericksburg, Virginia. The National Provider Identifier (NPI) is #1578878740, which was assigned on August 12, 2010, and the registration record was last updated on March 6, 2025. The practitioner's main practice location is at 1101 Sam Perry Blvd Ste 314, Fredericksburg, VA 22401-4466; the contact telephone number is 5403743200. The primary taxonomy of Nicole Elizabeth Brown is Physician Assistant (363A00000X). Nicole Elizabeth Brown is licensed to practice in the state of Texas (#PA13285), Connecticut (#002420).

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Provider Information

NPI 1578878740
Entity Type Individual
Provider Name NICOLE ELIZABETH BROWN
Other Name NICOLE ELIZABETH KERN
(Former Name)
Gender Female
Credential PA
Other Credential PA
Practice Address 1101 Sam Perry Blvd Ste 314
Fredericksburg
VA 22401-4466
Practice Telephone 5403743200
Mailing Address 705 Quail Creek Dr
Amarillo
TX 79124-1608
Certification Date 2025-03-06
Enumeration Date 2010-08-12
Last Update Date 2025-03-06
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 4082808084
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name NICOLE BROWN
Primary Specialty PHYSICIAN ASSISTANT
Organization Legal Name MARY WASHINGTON HEALTHCARE PROVIDERS LLC
Address 1001 Sam Perry Blvd
Fredericksburg
VA 22401-4453

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N363A00000XPhysician AssistantPA13285TX
N363AM0700XPhysician AssistantMedical002420CT

Other Provider Identifiers

Other IdentifierIssuing StateIssuerIdentifier Type
003024205CTMEDICAID

Secondary Practice Locations

AddressTelephoneFax
705 Quail Creek Dr, Amarillo, TX 7912416088025245911

Providers with the same name

Provider NameAddressTaxonomyEnumeration Date
Nicole Elizabeth Brown · Nicole Bork 4761 Tuttle Creek Blvd, Manhattan, KS 66502-9079Occupational Therapy Assistant2025-07-18

Taxonomy Information

Primary Taxonomy

Code 363A00000X
Taxonomy Physician Assistant
Classification Physician Assistant
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Other Taxonomy

Code 363AM0700X
Taxonomy Medical Physician Assistant
Classification Physician Assistant
Specialization Medical
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: Definition to come...

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Jordan Ashley Ellesin 1972 Clark Ave, Alliance, OH 44601-3929Physician Assistant2026-01-10
Ruszel Leuer Soliman Rubio 3630 E Imperial Hwy, Lynwood, CA 90262-2609Physician Assistant2026-01-10
Taylor Lyman 1775 N Sector Ct Ste 200, Winchester, VA 22601-2859Physician Assistant2026-01-10
Zahra Mehrabi Shenandoah University Pa Program, 1775 North Sector Court, Suite 200, Winchester, VA 22601Physician Assistant2026-01-09
Meerralaskhmi Gandi 20060 Coltsfoot Ter Apt 201, Ashburn, VA 20147-2347Physician Assistant2026-01-10
Nguyen Chau 4311 11th Ave Ne Ste 200, Seattle, WA 98105-6367Physician Assistant2026-01-10
Natalie Nicole Stepniak 43 Wopowog Trl, Shelton, CT 06484-5451Physician Assistant2026-01-09
Katherine Olga Russell 1775 North Sector Ct, Suite 200, Winchester, VA 22601Physician Assistant2026-01-10
Raquel Bartocci 100 E 77th St, New York, NY 10075-1850Physician Assistant2026-01-10
Yazmin Cordero Cruz B-3, Calle 8, Urb Las Marias, Salinas, PR 00751-2403Physician Assistant2026-01-09
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Location Information

Street Address 1101 SAM PERRY BLVD STE 314
City FREDERICKSBURG
State VA
Zip Code 22401-4466
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Amanda Nicole Coon 1101 Sam Perry Blvd Ste 400, Fredericksburg, VA 22401-4466Surgery Physician2025-09-18
Micaiah Landrum 1101 Sam Perry Blvd Ste 400, Fredericksburg, VA 22401-4466Student in an Organized Health Care Education/Training Program2024-10-03
Ricky Alexander Perez-Macia 1101 Sam Perry Blvd Ste 400, Fredericksburg, VA 22401-4466Student in an Organized Health Care Education/Training Program2024-07-01
Kimberly Beth Gordon 1101 Sam Perry Blvd Ste 400, Fredericksburg, VA 22401-4466Physician Assistant2013-07-10

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Michele Anne Kozlowski 305 Hanson Avenue, Suite 170, Fredericksburg, VA 22401Mental Health Counselor2006-10-02
Arnold J Aguilera 220 Executive Center Pkwy, Fredericksburg, VA 22401-3107Neurology Physician2006-07-01
Laura Gutierrez 200 Executive Center Pkwy, Fredericksburg, VA 22401-3177Women's Health Nurse Practitioner2025-08-05
Nicholas James Savage 2601 Princess Anne St Ste 101, Fredericksburg, VA 22401-3254Naturopath2020-04-22
Mary Washington Healthcare Specialty Services LLC 1001 Sam Perry Blvd, Fredericksburg, VA 22401Certified Registered Nurse Anesthetist2006-06-19
Daniel Oteng Mary Washington Hospital, 1001 Sam Perry Blvd, Fredericksburg, VA 22401Student in an Organized Health Care Education/Training Program2025-08-06
Abundance Primary Care LLC 1911 Idlewild Blvd, Fredericksburg, VA 22401-2643Family Nurse Practitioner2025-09-30
Marcellus A Williams 3310 Fall Hill Ave, Fredericksburg, VA 22401-3000Physical Therapy Assistant2025-11-14
Haris Iqbal 1001 Sam Perry Blvd, Mwhc Internal Medicine Gme, Fredericksburg, VA 22401Student in an Organized Health Care Education/Training Program2025-05-07
Sonia Goyal 1001 Sam Perry Blvd, Mwhc Internal Medicine Gme, Fredericksburg, VA 22401Student in an Organized Health Care Education/Training Program2024-06-14
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.