MICHELE ROSE ANDERSON (DO) – Hematology (Pathology) Physician, NPI 1417510587

MICHELE ROSE ANDERSON (DO) is a healthcare provider. based in Mc lean, Virginia. specializing in PATHOLOGY. They hold the professional credentials DO. They hold a License No. 0102207708 (VA). The NPI Number for MICHELE ROSE ANDERSON (DO) is 1417510587

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MICHELE ROSE ANDERSON (DO)
NPI
1417510587
Phone
(703) 300-0592
Address
1005 PRIORY PL
Enumeration Date
15 April 2019
Last Update Date
25 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8048289000
Graduation Year
2019 (7 years ago)
PAC ID
3577987569
Group Practice PAC ID
4385542117
Professional Enrollment ID
I20250830000763
Address ID
VA232195051RI1250XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:7State licenses:1Digital endpointsOther names

460 PATHOLOGY in TN

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Provider Addresses for MICHELE ROSE ANDERSON (DO)

  • 1005 PRIORY PL

    MC LEAN, VA 221012134

    Phone: (703) 300-0592

    Type: Mailing

  • 1161, 21st Avenue South, Nashville, Davidson County, Tennessee, 37212, United States

    NASHVILLE, TN 372322561

    Phone: (615) 343-4882

    Type: Location

  • 1200 E Marshall St

    Richmond, VA 232985023

    Phone: (804) 827-0561

    Type: Location

  • PO BOX 780125

    PHILADELPHIA, PA 191780125

    Phone: (804) 922-4844

    Type: Mailing

  • 403 N 13TH ST

    RICHMOND, VA 232985030

    Phone: (804) 827-0561

    Type: Location

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-30

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
I20250830000763IPathologyVATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 22101)

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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: 4385542117View full group profile
NameSpecialtyState
Internal MedicineVA
-VA
Nurse PractitionerVA
Orthopedic SurgeryVA
O T O L A R Y N G O L O G YVA
Diagnostic RadiologyVA
Nurse PractitionerVA
Qualified AudiologistVA
Radiation OncologyVA
O T O L A R Y N G O L O G YVA

Reviews

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Frequently asked questions

What federal number belongs to MICHELE ROSE ANDERSON (DO)?
The federal identifier for MICHELE ROSE ANDERSON (DO) is NPI 1417510587.
Is MICHELE ROSE ANDERSON (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MICHELE ROSE ANDERSON (DO)?
The page reflects Hematology (Pathology) Physician for MICHELE ROSE ANDERSON (DO). Clinical services aligned with this taxonomy classification.
What location metadata exists for MICHELE ROSE ANDERSON (DO)?
The page summarizes Mc Lean, Virginia for MICHELE ROSE ANDERSON (DO); expand the address list for detail.
What if Mc Lean, Virginia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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