KATELYN NICEWANDER (PA-C) – Physician Assistant, NPI 1073168274

KATELYN NICEWANDER (PA-C) is a healthcare provider. based in Winchester, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 0110-006824 (VA). The NPI Number for KATELYN NICEWANDER (PA-C) is 1073168274

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KATELYN NICEWANDER (PA-C)
NPI
1073168274
Phone
(540) 678-0792
Address
2913 Valley Ave Ste 200
Enumeration Date
5 August 2019
Last Update Date
15 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5406357991
Graduation Year
2019 (7 years ago)
PAC ID
3274958871
Group Practice PAC ID
8426951203
Professional Enrollment ID
I20200729003261
Address ID
VA226302717FR625XXAVEX300

Contacts

Secure Messaging
katelynnicewander@abfp.allscriptsdirect.net
Secure Messaging
knicewander1009553@soc.inova.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:6State licenses:2Other namesUpdated within 12 months

4,429 PHYSICIAN ASSISTANT in VA

Provider Addresses for KATELYN NICEWANDER (PA-C)

  • 2913 Valley Ave Ste 200

    Winchester, VA 226012678

    Phone: (540) 678-0792

    Type: Location

  • Valley Avenue, Winchester, Winchester City, Virginia, 22601, United States

    WINCHESTER, VA 226012678

    Phone:

    Type: Mailing

  • 65 Riverton Commons Dr

    Front Royal, VA 226306768

    Phone: (540) 635-0700

    Type: Location

  • 415A South St

    Front Royal, VA 226302115

    Phone: (540) 636-0495

    Type: Location

  • 33820 Old Valley Pike Ste 2

    Strasburg, VA 226573793

    Phone: (540) 459-1310

    Type: Location

  • 160 Merchant St Ste 200

    Winchester, VA 226034772

    Phone: (540) 536-5950

    Type: Location

  • 625 Virginia Ave

    Front Royal, VA 226302717

    Phone: (540) 635-7991

    Type: Location

  • 220 CAMPUS BLVD STE 100

    WINCHESTER, VA 226012896

    Phone: (540) 536-5100

    Fax: (540) 536-0235

    Type: Mailing

  • 607 E JUBAL EARLY DR

    WINCHESTER, VA 226015178

    Phone: (540) 536-2232

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $443.

Total Amount is formed as General ($443) + Research ($0) + Ownership ($0) = $443.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Amgen Inc. ($125).

Total Amount

$443

General + Research + Ownership

Payments

8

Total payment records

General Amount

$443

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-07-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200729003261IPhysician AssistantVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes144139$0
99203New patient office or other outpatient visit, 30-44 minutes6969$0
99214Established patient office or other outpatient visit, 30-39 minutes6262$0
81003Automated urinalysis test5050$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)4846$0
View full utilization report →

Insurance plans in this area (ZIP 22601)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426951203View full group profile
NameSpecialtyState
-VA
Family Practice, Geriatric MedicineME
-VA
-VA
Family PracticeNY
Nurse PractitionerVA
Cardiovascular Disease (Cardiology), Cardiac Electrophysiology, Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)VA
-VA
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineVA
Family PracticePA

Reviews

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Frequently asked questions

What is the 10-digit NPI for KATELYN NICEWANDER (PA-C)?
KATELYN NICEWANDER (PA-C) — NPI 1073168274 — is the standard way to identify this listing.
Can I rely on KATELYN NICEWANDER (PA-C) being an active provider?
As of the registry snapshot, KATELYN NICEWANDER (PA-C) is marked active.
What healthcare role does KATELYN NICEWANDER (PA-C) hold?
Scheduling teams often label KATELYN NICEWANDER (PA-C) under Physician Assistant. Clinical services aligned with this taxonomy classification.
Does KATELYN NICEWANDER (PA-C) list a practice location?
Patients near Winchester, Virginia may find KATELYN NICEWANDER (PA-C) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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