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

Nicole M Royer, PA

Individual provider Physician Assistant · NPI 1720610132

Nicole M Royer, PA is a Physician Assistant in Leesburg, Virginia. Qualified in 2020, 6 years ago. Works from 2 locations 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 — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

19450 Deerfield Ave Ste 325
Leesburg, VA 20176-8503
Phone: (571) 252-8119
Fax: (800) 735-1643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 21475 Ridgetop Cir Ste 150, Sterling, VA 20166-6580 — (703) 444-5000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110-007675 (VA)

Record details

NPI number1720610132
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 4, 2020
Last updated in NPPESNovember 20, 2023
Certification dateNovember 20, 2023

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)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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