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

Nicole Myers

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1235991548

Nicole Myers is a Physician Assistant in Norfolk, Virginia. Qualified in 2024, 2 years ago. Licensed in District of Columbia.

Years since qualifying
2
Licensed in
DC
In the registry since
2024
Specialties on file
2

Practice location Address checks out

825 Fairfax Ave
Norfolk, VA 23507-1912
Phone: (757) 446-5600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 200002190 (DC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1235991548
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 23, 2024
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 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)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

Other providers in Norfolk