Individual provider Active NPI

Nicole Cutler, PA-C

  • Physician Assistant
  • Chesterfield, VA
National Provider Identifier
1427896208
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110010198 Issued in VA
Practice address
7300 Ashlake Pkwy Ste 200
Chesterfield, VA 23832-2827
Phone
(804) 256-8282
NPI assigned
Jul 17, 2024
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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 0110010198 VA Primary

Addresses

Primary practice location

7300 Ashlake Pkwy Ste 200
Chesterfield, VA 23832-2827

Mailing address

7300 Ashlake Pkwy Ste 200
Chesterfield, VA 23832-2827
Phone (804) 256-8282

Other practice location 1

8006 Discovery Dr Ste 400
Henrico, VA 23229-8600
Phone (804) 256-8282

Other practice location 2

2035 Waterside Rd Ste 105
Prince George, VA 23875-1265
Phone (804) 256-8282

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
I20241119000388 VA Practitioner - Physician Assistant 6305371022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Professional Therapies of Roanoke, Inc.Group PAC ID 3375710619, shared by 5 NPIs, 272 clinicians
Vitalcare Family LLCGroup PAC ID 6709132731, 29 clinicians

Practice addresses (Care Compare)

6800 Woodlake Commons Loop
Midlothian, VA 23112-2281
Phone (804) 302-4589

7300 Ashlake Pkwy
Suite 200
Chesterfield, VA 23832-2827
Phone (804) 256-8282

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nourish2Flourishrva LLC Past Accepting new patients

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 3

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": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1427896208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 ASHLAKE PKWY STE 200",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238322827",
            "telephone_number": "804-256-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 ASHLAKE PKWY STE 200",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238322827",
            "telephone_number": "804-256-8282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8006 Discovery Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Henrico",
            "state": "VA",
            "postal_code": "232298600",
            "country_code": "US",
            "telephone_number": "804-256-8282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2035 Waterside Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Prince George",
            "state": "VA",
            "postal_code": "238751265",
            "country_code": "US",
            "telephone_number": "804-256-8282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUTLER",
        "first_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110010198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.