Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Michael Anthony Disimone, MPH, MPAS, PA-C

Individual provider Physician Assistant · NPI 1104801497

Mr. Michael Anthony Disimone, MPH, MPAS, PA-C is a Physician Assistant in Fredericksburg, Virginia. Qualified in 2008, 18 years ago. Practices with Pinnacle Dermatology SC, a 145-clinician group and accepts Medicare assignment.

Years since qualifying
18
In the registry since
2005
What do these letters mean?
MPH — Master of Public Health
A graduate degree in population health.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3501 Lafayette Blvd
Fredericksburg, VA 22408-4130
Phone: (540) 371-7118
Fax: (540) 371-3248
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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 1070430

Record details

NPI number1104801497
Entity typeIndividual (Type 1)
GenderMale
Credentials MPH , MPAS , PA-C
Sole proprietorNo
NPI enumeratedDecember 9, 2005
Last updated in NPPESMarch 9, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Pinnacle Dermatology Sc — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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