Anne M. Nickodem, MD PC
NPI 1205916871 · Plastic Surgery Physician · Vienna, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Anne M. Nickodem, MD PC is a Plastic Surgery Physician organization in Vienna, VA (NPI 1205916871).
Provider details
- NPI number
- 1205916871
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Anne Nickodem, President(703) 560-8711
- License
- 0101047333 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-17
- Last updated
- 2025-06-16
- Certified
- 2025-06-16
Frequently asked questions
- What is Anne M. Nickodem, MD PC's NPI number?
- Anne M. Nickodem, MD PC's National Provider Identifier (NPI) is 1205916871, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Anne M. Nickodem, MD PC?
- Anne M. Nickodem, MD PC is classified in the NPPES registry as Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Anne M. Nickodem, MD PC located?
- Anne M. Nickodem, MD PC's practice location on file with NPPES is 8229 Boone Blvd Ste 365, Vienna, VA 22182-2623.
- What is Anne M. Nickodem, MD PC's phone number?
- The practice phone number listed in the NPPES registry for Anne M. Nickodem, MD PC is (703) 560-8711.
- Does Anne M. Nickodem, MD PC accept Medicare?
- Anne M. Nickodem, MD PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Anne M. Nickodem, MD PC?
- The authorized official listed on Anne M. Nickodem, MD PC's NPPES record is Anne Nickodem, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Anne M. Nickodem, MD PC's NPI active?
- Yes — Anne M. Nickodem, MD PC's NPI (1205916871) is active in the NPPES registry as of the last update on 2025-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.