Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Ann Hagopian

Individual provider Family Nurse Practitioner · NPI 1396579090

Kimberly Ann Hagopian is a Nurse Practitioner in Fairfax, Virginia. Graduated from Marymount University in 2024, 2 years ago. Practices with On Site Dermatology Associates LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
2
Trained at
Marymount University
Licensed in
VA
In the registry since
2024
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

8081 Innovation Park Dr
Fairfax, VA 22031-4867
Phone: (443) 852-1665
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024191062 (VA)

Record details

NPI number1396579090
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 27, 2024
Last updated in NPPESAugust 27, 2024
Certification dateAugust 27, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolMARYMOUNT UNIVERSITY
Graduated 2024 (2 years in practice)
Group practice On Site Dermatology Associates Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Fairfax