Kathryn K Niederer, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110003945 Issued in VA

Practice address

7900 Shrader Rd
Henrico, VA 23294-4215

Phone

(804) 264-8782

Fax

(804) 266-9214

NPI assigned

Jan 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vascular Surgery Associates of Richmond PCGroup PAC ID 4385682590, 17 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.64 of 100Reported as group

Quality

83.78

Promoting interoperability

95

Improvement activities

40

Cost

76.62

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IHIGCD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vascular Surgery Associates of Richmond, PC

  • Vascular Surgery Physician
  • Henrico, VA
  • NPI 1992763742
  Medicare reassignment Care Compare group
• Vsa Vascular Center LLC

  • Ambulatory Surgical Clinic/Center
  • Richmond, VA
  • NPI 1477246429
  NPD (past)

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

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1518010503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 FOREST LN # 515057",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302472",
            "telephone_number": "804-264-8782",
            "fax_number": "804-266-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 SHRADER RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232944215",
            "telephone_number": "804-264-8782",
            "fax_number": "804-266-9214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1396B Tappahannock Blvd",
            "address_purpose": "LOCATION",
            "city": "Tappahannock",
            "state": "VA",
            "postal_code": "225609309",
            "country_code": "US",
            "telephone_number": "804-288-1953",
            "fax_number": "804-282-1046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6031 Staples Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232284923",
            "country_code": "US",
            "telephone_number": "804-264-8782",
            "fax_number": "804-266-9214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8237 Meadowbridge Rd",
            "address_purpose": "LOCATION",
            "city": "Mechanicsville",
            "state": "VA",
            "postal_code": "231162329",
            "country_code": "US",
            "telephone_number": "804-288-1953",
            "fax_number": "804-282-1046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13460 Tredegar Lake Pkwy",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231124070",
            "country_code": "US",
            "telephone_number": "804-288-1953",
            "fax_number": "804-282-1046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "267 Medical Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Petersburg",
            "state": "VA",
            "postal_code": "238059337",
            "country_code": "US",
            "telephone_number": "804-288-1953",
            "fax_number": "804-282-1046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIEDERER",
        "first_name": "KATHRYN",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-21",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Henrico, VA
• Providers in Henrico, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.

Verify at the official NPI Registry.