KIMBERLY C NICASTRO (PA) – Physician Assistant, NPI 1164660940

Physician Assistant

KIMBERLY C NICASTRO (PA) is a healthcare provider. based in Haymarket, Virginia. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. 0110002502 (VA). The NPI Number for KIMBERLY C NICASTRO (PA) is 1164660940

Main info

Female

21 Years Of Experience

Accepts Medicare Assignment

Name

KIMBERLY C NICASTRO (PA)

NPI

1164660940

Phone

(571) 636-6000

Address

15195 HEATHCOTE BLVD STE 150

Enumeration Date

2 February 2009

Last Update Date

2 August 2021

Doctor Profile

Medical School Name

OTHER

Secondary Phone

5712843180

Graduation Year

2005 (21 years ago)

PAC ID

8022230341

Group Practice PAC ID

4880590728

Professional Enrollment ID

I20141120001693

Contacts

Secure Messaging

knicastro426597@direct.healthsystem.virginia.edu

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience58

Completeness85

Years active:17State licenses:1Other namesUpdated within 12 months

Provider Addresses for KIMBERLY C NICASTRO (PA)

15195 HEATHCOTE BLVD STE 150
HAYMARKET, VA 201696243
Phone: (571) 636-6000
Fax: (571) 636-6010
Type: Location
Charlottesville Post Office, 1155, Seminole Trail, Westfield, Charlottesville, Albemarle County, Virginia, 22906, United States
CHARLOTTESVILLE, VA 229069007
Phone:
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
99213	Established patient office or other outpatient visit, 20-29 minutes	11	11	$0

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Insurance plans in this area (ZIP 20169)

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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: 4880590728View full group profile

Name	Specialty	State
HEATHER STEVENS SPADER (MD)	N E U R O S U R G E R Y	VA
Unknown Individual	-	VA
FARNAZ M GAZONI (MD)	A N E S T H E S I O L O G Y	VA
DONALD J. DUDLEY (M.D.)	-	VA
WILLIAM G. WILSON (M.D.)	-	VA
ALLISON J. BECHTEL (M.D.)	-	VA
MEGAN E. KINGDON (NP)	-	VA
HASAN R SYED (M.D.)	-	VA
CORRIE P. PARKER (FNP)	Nurse Practitioner	VA
GREGORY W. COOPER (M.D.)	-	VA