Katherine Oberdove, PA-C – Physician Assistant

Key facts

NPI: 1730635137
Entity type: Individual (NPI type 1)
Primary specialty: Physician Assistant 363A00000X
License: 0110010514 (VA)
Practice address: 330 White Oak Rd
Fredericksburg, VA 22405-2792
Phone: (540) 373-2424
NPI assigned: Aug 26, 2016
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Virginia Urgent Care LLC Urgent Care Clinic/Center · Fredericksburg, VA · NPI 1487838652

Medicare reassignment Care Compare group VA

Medicare Care Compare profile

Specialty: Physician Assistant
Education: Other, 2016
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Virginia Urgent Care LLC (24 clinicians)

Practice addresses (Care Compare)

12581 Milstead Way
Suite 103
Woodbridge, VA 22192-5425
Phone (703) 897-5890

15 S Gateway Dr
Suite 101
Fredericksburg, VA 22406-1231
Phone (540) 368-5603

330 White Oak Rd
Fredericksburg, VA 22405-2792
Phone (540) 373-2424

5825 Plank Rd
Suite 105
Fredericksburg, VA 22407-5207
Phone (540) 785-2727

Medicare participation

Medicare fee-for-service enrollment: Enrolled in VA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20250304000458	VA	Practitioner - Physician Assistant	0749561058	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Physician Assistant

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physician Assistant	363A00000X	53677	CA
Physician Assistant	363A00000X	50.005242RX	OH
Physician Assistant	363A00000X	0110010514	VA	Yes

Addresses

Primary practice location

330 White Oak Rd
Fredericksburg, VA 22405-2792

Mailing address

5450 Frantz Rd Ste 360
Dublin, OH 43016-4141

Other practice location 1

70 S Cleveland Ave
Westerville, OH 43081-1397
Phone (614) 839-2115

Other practice location 2

513 Shadow Tree Dr
Oceanside, CA 92058-7029
Phone (859) 803-9080

Other practice location 3

70 S Cleveland Ave
Westerville, OH 43081-1397
Phone (614) 839-2115

Other identifiers

Identifier	Type	State	Issuer
NO5236412	Other	KY	DRIVERS LICENSE

Other names

Katherine Navaro Former name

Other providers in Fredericksburg, VA

Edith Obeng, CNA
Masamon Ober
Patrick Edward Ober, PA-C
Peter C Ober, PA
Sean Christopher Ober, PA-C
Obstetrics & Gynecology Associates of Fredericksburg, P.C.
Rebecka Ockay, CPM, LM, LMT
Osama Odeh, BDS
Racheal Naamua Odei-Kwatia, NP
Thomas P Officer, M.D.

All providers in Fredericksburg, VA · Physician Assistant in Virginia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.