MRS. KATHRYN K NIEDERER (PA-C) – Physician Assistant, NPI 1518010503
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,429 PHYSICIAN ASSISTANT in VA
Provider Addresses for MRS. KATHRYN K NIEDERER (PA-C)
1396B Tappahannock Blvd
Tappahannock, VA 225609309
Phone: (804) 288-1953
Fax: (804) 282-1046
Type: Location
6031 Staples Mill Rd
Richmond, VA 232284923
Phone: (804) 264-8782
Fax: (804) 266-9214
Type: Location
8237 Meadowbridge Rd
Mechanicsville, VA 231162329
Phone: (804) 288-1953
Fax: (804) 282-1046
Type: Location
13460 Tredegar Lake Pkwy
Midlothian, VA 231124070
Phone: (804) 288-1953
Fax: (804) 282-1046
Type: Location
267 Medical Park Blvd
Petersburg, VA 238059337
Phone: (804) 288-1953
Fax: (804) 282-1046
Type: Location
7900 SHRADER RD
HENRICO, VA 232944215
Phone: (804) 288-1953
Type: Mailing
Federal Bureau of Investigation Richmond Field Office, 1970, East Parham Road, Lydell Heights, Richmond, Henrico County, Virginia, 23228, United States
MOB III SUITE 102
RICHMOND, VA 232944371
Phone: (404) 881-6117
Type: Mailing
8135 FOREST LN # 515057
DALLAS, TX 752302472
Phone: (804) 264-8782
Fax: (804) 266-9214
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $113.
Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.
Last reported payment date: 2024-05-09 • Largest payer in this snapshot: TACTILE SYSTEMS TECHNOLOGY INC ($37).
Total Amount
$113
General + Research + Ownership
Payments
5
Total payment records
General Amount
$113
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-09
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2013-03-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130323000093 | I | Physician Assistant | VA | TBD |
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.
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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 31 | 31 | $0 |
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | 21 | 15 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 20 | 18 | $0 |
Insurance plans in this area (ZIP 22560)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Vascular Surgery | VA | |
| Nurse Practitioner | VA | |
| Vascular Surgery | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Physician Assistant | VA | |
| - | VA | |
| Vascular Surgery | VA | |
| Physician Assistant | VA | |
| Physician Assistant | VA |
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