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

Shelby Kloosterboer

Individual provider Physician Assistant · NPI 1679105530

Shelby Kloosterboer is a Physician Assistant in Sterling, Virginia. Qualified in 2020, 6 years ago. Practices with Inova Ucc LLC, a 153-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
6
Licensed in
VA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

46440 Benedict Dr Ste 107
Sterling, VA 20164-6602
Phone: (703) 450-1125
Fax: (703) 450-1145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 13950 Brandywine Rd Ste 225, Brandywine, MD 20613-5815 — (812) 584-8922
  • 6355 Walker Ln Ste 501, Alexandria, VA 22310-3251 — (703) 971-3701
  • 46440 Benedict Drive, Sterling, VA 20164-6602 — (703) 450-1125

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110007652 (VA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1679105530
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 10, 2020
Last updated in NPPESMarch 7, 2024
Certification dateMarch 7, 2024

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 Inova Ucc Llc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

Other providers in Sterling