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

Miss. Nicole Derosier, PA-C

Individual provider Physician Assistant · NPI 1881438042

Miss. Nicole Derosier, PA-C is a Physician Assistant in Fairfax, Virginia. Qualified in 2024, 2 years ago. Practices with Inova Health Care Services, a 1,827-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
2
Licensed in
VA
In the registry since
2024
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

8100 Innovation Park Dr Ste 110
Fairfax, VA 22031-4870
Phone: (571) 472-6464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110010604 (VA)

Record details

NPI number1881438042
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 22, 2024
Last updated in NPPESJune 1, 2025
Certification dateMay 18, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Inova Health Care Services — 1827 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

Other providers in Fairfax