Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kaitlyn Boccella, PA-C

Individual provider Physician Assistant · NPI 1033005855

Kaitlyn Boccella, PA-C is a Physician Assistant in Suffolk, Virginia. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Virginia.

Years since qualifying
1
Licensed in
VA
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3920A Bridge Rd Ste 207
Suffolk, VA 23435-1118
Phone: (757) 983-2200
Fax: (757) 983-2201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 78 Medical Center Dr, Fishersville, VA 22939-2332 — (540) 932-5595

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110011055 (VA)

Record details

NPI number1033005855
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 17, 2025
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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