Active NPI
Melissa Renee Nickols, PA-C
- Physician Assistant
- Columbia, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0007235
- Practice address
- 7120 Minstrel Way Ste 100
Columbia, MD 21045-5274 - Phone
- (410) 290-6677
- NPI assigned
- Jun 13, 2018
- Last updated
- Mar 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0007235 | MD | Primary |
Addresses
Primary practice location
7120 Minstrel Way Ste 100
Columbia, MD 21045-5274
Mailing address
7120 Minstrel Way Ste 100
Columbia, MD 21045-5274
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3300 Gallows Rd
Falls Church, VA 22042-3307
3405 Olandwood CT
Suite 102
Olney, MD 20832-1447
Phone (301) 570-8671
7120 Minstrel Way
Suite 100
Columbia, MD 21045-5274
Phone (410) 290-6677
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.52 of 100
- Quality
- 56.13
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 80.61
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0007235 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastro Center of Maryland LLC | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Arundel Anesthesia, LLC | Past | Accepting new patients | |
| Old Dominion Anesthesia LLC | Past | Accepting new patients |
Locations
7120 Minstrel Way
Ste 100
Columbia, MD 21045
Phone (571) 210-4828
3405 Olandwood Ct
Ste 102
Olney, MD 20832
Phone (301) 570-8671
3022 Williams Dr
Ste 301
Fairfax, VA 22031
Phone (703) 698-1775
3700 Joseph Siewick Dr
Ste 308
Fairfax, VA 22033
Phone (703) 716-8700
8095 Innovation Park Dr
Bldg C
Fairfax, VA 22031
Phone (571) 472-6253
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gastroenterology Physician
- Fairfax, VA
- NPI 1205884368
DC
-
dba Inova Comprehensive Addiction Treatment (CATS)
- Substance Abuse Rehabilitation Facility
- Falls Church, VA
- NPI 1588717755
-
dba Inova Blood Donor Services
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
- Anesthesiology Physician
- Columbia, MD
- NPI 1417666231
-
- Anesthesiology Physician
- Charlottesville, VA
- NPI 1902248677
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inova Fairfax Hospital
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
dba Inova Fairfax Hospital
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773360000000",
"number": "1396238499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7120 MINSTREL WAY STE 100",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210455274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7120 MINSTREL WAY STE 100",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210455274",
"telephone_number": "410-290-6677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICKOLS",
"first_name": "MELISSA",
"middle_name": "RENEE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-13",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0007235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.