Individual provider Active NPI

Marichu Berro Nichols, FAMILY NURSE PRACTIT

  • Family Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1760103006
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024184984 Issued in VA
Practice address
8613 Route 29 Ste 200N
Fairfax, VA 22031-2171
Phone
(571) 350-8400
Fax
(703) 280-9596
NPI assigned
Sep 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024184984 VA Primary

Addresses

Primary practice location

8613 Route 29 Ste 200N
Fairfax, VA 22031-2171

Mailing address

3040 Williams Dr Ste 100
Fairfax, VA 22031-4618
Phone (571) 350-8400

Other practice location 1

13907 Airfoil Rd
Herndon, VA 20171-2566
Phone (913) 957-9005

Other practice location 2

24795 Pinebrook Rd
Chantilly, VA 20152-4239
Phone (703) 542-7691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221222001692 DC Practitioner - Nurse Practitioner 3779953377 Reassigns benefits to 2 organizations
I20221230002146 VA Practitioner - Nurse Practitioner 3779953377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Cancer Specialists, P.C.Group PAC ID 2264412485, 80 clinicians
Orthovirginia IncGroup PAC ID 0547157224, 570 clinicians

Practice addresses (Care Compare)

2280 Opitz Blvd
Suite 130
Woodbridge, VA 22191-3362
Phone (703) 986-1600

3620 Joseph Siewick Dr
Suite 100
Fairfax, VA 22033-1757
Phone (703) 810-5210

4660 Kenmore Ave
Suite 1018
Alexandria, VA 22304-1306
Phone (571) 483-1800

8613 Route 29
Suite 100N
Fairfax, VA 22031-2172
Phone (703) 934-4450

Hospital & facility affiliations

  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063
  • Fauquier Hospital Hospital, Warrenton, VA, CCN 490023

Merit-based Incentive Payment System (MIPS)

Final score
90.85 of 100Reported as group
Quality
90.74
Promoting interoperability
100
Improvement activities
40
Cost
78.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Cancer Specialists, P.C. CurrentSince Jul 2, 2024 Accepting new patients
Orthovirginia, Inc CurrentSince Mar 1, 2023 Accepting new patients
Virginia Cancer Specialists, P.C. CurrentSince Jul 2, 2024 Accepting new patients
Orthovirginia, Inc Family CurrentSince Mar 1, 2023 Accepting new patients
Orthovirginia Inc. Current Accepting new patients
Orthovirginia, Inc. Past Accepting new patients

Locations

277 S Washington St
Ste 100
Alexandria, VA 22314
Phone (571) 366-5792

4660 Kenmore Ave
Ste 1018
Alexandria, VA 22304
Phone (571) 483-1800

6354 Walker Ln
Ste 300
Alexandria, VA 22310
Phone (703) 810-5210

1100 N Glebe Rd
Ste 1600
Arlington, VA 22201

8613 Route 29
Ste 101
Fairfax, VA 22031
Phone (703) 783-4510

3040 Williams Dr
Ste 100
Fairfax, VA 22031

8613 Route 29
Ste 200N
Fairfax, VA 22031
Phone (703) 208-3120

3620 Joseph Siewick Dr
Ste 100
Fairfax, VA 22033
Phone (703) 277-2663

8613 Route 29
Ste 100N
Fairfax, VA 22031
Phone (703) 934-4450

3700 Joseph Siewick Dr
Ste 408
Fairfax, VA 22033
Phone (703) 391-4212

44035 Riverside Pkwy
Ste 300
Leesburg, VA 20176
Phone (703) 208-3155

44035 Riverside Pkwy
Ste 310
Leesburg, VA 20176

9450 Innovation Dr
Manassas, VA 20110
Phone (571) 222-2200

1760 Old Meadow Rd
Ste 500
McLean, VA 22102
Phone (703) 437-8195

1860 Town Center Dr
Ste 460
Reston, VA 20190
Phone (703) 437-6535

8320 Old Courthouse Rd
Ste 100
Vienna, VA 22182
Phone (703) 810-5213

210 W Shirley Ave
Ste 192
Warrenton, VA 20186
Phone (540) 316-4360

210 W Shirley Ave
#111
Warrenton, VA 20186
Phone (703) 208-9331

2280 Opitz Blvd
#130
Woodbridge, VA 22191
Phone (703) 897-5358

2280 Opitz Blvd
Ste 130
Woodbridge, VA 22191
Phone (713) 508-4005

Interoperability endpoints

  • Direct secure messaging: marichu.nichols@vcs.ikm.direct-ci.com

Organizations & group practices 6

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.

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": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1760103006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 WILLIAMS DR STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314618",
            "telephone_number": "571-350-8400",
            "fax_number": "703-280-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8613 ROUTE 29 STE 200N",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312171",
            "telephone_number": "571-350-8400",
            "fax_number": "703-280-9596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13907 Airfoil Rd",
            "address_purpose": "LOCATION",
            "city": "Herndon",
            "state": "VA",
            "postal_code": "201712566",
            "country_code": "US",
            "telephone_number": "913-957-9005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24795 Pinebrook Rd",
            "address_purpose": "LOCATION",
            "city": "Chantilly",
            "state": "VA",
            "postal_code": "201524239",
            "country_code": "US",
            "telephone_number": "703-542-7691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "MARICHU",
        "middle_name": "BERRO",
        "credential": "FAMILY NURSE PRACTIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024184984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.