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

Individual provider Physician Assistant · NPI 1124746409

Nicholas Lance Deglopper, PA-C is a Physician Assistant in Norfolk, Virginia. Qualified in 2022, 4 years ago. Practices with Lakeland Medical Practices, a 287-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022
Specialties on file
2
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

830 Kempsville Rd
Norfolk, VA 23502-3920
Phone: (757) 261-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 31 N Saint Joseph Ave, Niles, MI 49120-2207 — (269) 985-4632
  • 1234 Napier Ave, Saint Joseph, MI 49085-2112 — (269) 985-4632

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601012131 (MI)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1124746409
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 22, 2022
Last updated in NPPESMarch 26, 2025
Certification dateMarch 26, 2025
Mailing address907 Sunset Hills Ave Nw, Grand Rapids, MI 49534-3639

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Lakeland Medical Practices — 287 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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