Individual provider Active NPI

Nicholas Seymour, PA-C

  • Physician Assistant
  • Fredericksburg, VA
National Provider Identifier
1396507778
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110009899 Issued in VA
Practice address
4710 Spotsylvania Pkwy
Fredericksburg, VA 22407-9433
Phone
(540) 373-4602
NPI assigned
Jan 30, 2024
Last updated
Feb 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110009899 VA Primary

Addresses

Primary practice location

4710 Spotsylvania Pkwy
Fredericksburg, VA 22407-9433

Mailing address

1340 Central Park Blvd Ste 100
Fredericksburg, VA 22401-4940
Phone (540) 741-4257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240722002395 VA Practitioner - Physician Assistant 3375089766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-1100

1301 Sam Perry Blvd
Suite 200
Fredericksburg, VA 22401-8420
Phone (540) 373-4602

2300 Fall Hill Ave
Suite 308
Fredericksburg, VA 22401-3343

2800 Welford St
Fredericksburg, VA 22401-3176
Phone (540) 361-1830

2800 Wellford St
Suite 200
Fredericksburg, VA 22401-3176
Phone (540) 361-1833

3310 Fall Hill Ave
Fredericksburg, VA 22401-3000
Phone (540) 373-4602

4710 Spotsylvania Pkwy
Fredericksburg, VA 22407-9433

90 Greenspring Dr
Stafford, VA 22554-1752
Phone (540) 373-4602

9530 Cosner Dr
Fredericksburg, VA 22408-7760

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Washington Healthcare Physicians CurrentSince Apr 15, 2024 Accepting new patients

Locations

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

1201 Sam Perry Blvd
Ste 101C
Fredericksburg, VA 22401
Phone (540) 741-7000

1301 Sam Perry Blvd
Ste 200
Fredericksburg, VA 22401

1500 Dixon St
Fredericksburg, VA 22401
Phone (540) 371-5349

3310 Fall Hill Ave
Fredericksburg, VA 22401
Phone (540) 373-7133

4710 Spotsylvania Pkwy
Ste 101
Fredericksburg, VA 22407

9530 Cosner Dr
Ste 101
Fredericksburg, VA 22408

101 Hospital Center Blvd
Stafford, VA 22554
Phone (540) 741-3340

90 Greenspring Dr
Stafford, VA 22554
Phone (540) 373-7133

Interoperability endpoints

  • Direct secure messaging: nseymour119048@marywashingtonhealthcare.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1396507778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 CENTRAL PARK BLVD STE 100",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014940",
            "telephone_number": "540-741-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 SPOTSYLVANIA PKWY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224079433",
            "telephone_number": "540-373-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYMOUR",
        "first_name": "NICHOLAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-30",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110009899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.