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

Individual provider Physician Assistant · NPI 1073126215

Mr. Nickolas Patrick Forsberg, PA-C is a Physician Assistant in Reston, Virginia. Qualified in 2020, 6 years ago. Practices with Orthovirginia Inc, a 570-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
6
Licensed in
VA
In the registry since
2020
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

11800 Sunrise Valley Dr Fl 8
Reston, VA 20191-5300
Phone: (703) 709-1114
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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 0110007272 (VA)

Record details

NPI number1073126215
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 27, 2020
Last updated in NPPESAugust 27, 2020
Certification dateAugust 27, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Orthovirginia Inc — 570 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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