Individual provider Active NPI

Deniece Batichon

  • Medical Physician Assistant
  • Herndon, VA
National Provider Identifier
1922569292
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110006741 Issued in VA
Practice address
464 Herndon Pkwy Ste 126
Herndon, VA 20170-5200
Phone
(215) 585-2144
NPI assigned
Mar 28, 2019
Last updated
Nov 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110006741 VA Primary

Addresses

Primary practice location

464 Herndon Pkwy Ste 126
Herndon, VA 20170-5200

Mailing address

464 Herndon Pkwy Ste 126
Herndon, VA 20170-5200

Other practice location 1

109 Gainsborough Sq Ste G
Chesapeake, VA 23320-1757
Phone (757) 490-9388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NM, FL, PA, DC5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20190826003481 VA Practitioner - Physician Assistant 9638407810 Reassigns benefits to 3 organizations
I20220209001964 NM Practitioner - Physician Assistant 9638407810 Reassigns benefits to 1 organization
I20230223002868 FL Practitioner - Physician Assistant 9638407810 Reassigns benefits to 1 organization
I20230531003759 PA Practitioner - Physician Assistant 9638407810 Reassigns benefits to 1 organization
I20250823000433 DC Practitioner - Physician Assistant 9638407810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ophelia Medical Group FL PAGroup PAC ID 7810398534, 103 clinicians

Practice addresses (Care Compare)

161 Cecil B Moore Ave
Apt 204
Philadelphia, PA 19122-3243
Phone (215) 585-2144

1638 R St NW
Suite 214
Washington, DC 20009-6480
Phone (215) 585-2144

464 Herndon Pkwy
Suite 216
Herndon, VA 20170-5200
Phone (215) 585-2144

801 W Bay Dr
Suite 408
Largo, FL 33770-3220
Phone (215) 585-2144

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110006741VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Emergency Medical Care PastSince Feb 2, 2020 Accepting new patients
Ophelia Medical Group, P.C. PastSince Mar 22, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: deniece.batichon.1@27050.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1922569292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 HERNDON PKWY STE 126",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201705200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 HERNDON PKWY STE 126",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201705200",
            "telephone_number": "215-585-2144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Gainsborough Sq Ste G",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233201757",
            "country_code": "US",
            "telephone_number": "757-490-9388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATICHON",
        "first_name": "DENIECE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110006741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

Verify at the official NPI Registry.