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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MIA JO TAVERONI
NPI 1205793502
Physician Assistant in Fredericksburg, VA

Active since January 07, 2026PECOS Enrolled
10 STAFFORD LAKES PKWY STE 102, FREDERICKSBURG, VA 22406(540) 741-6982 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mia Jo Taveroni NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIA JO TAVERONI (NPI 1205793502) is an individual physician assistant in Fredericksburg, Virginia, licensed in Virginia (0110011893) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1205793502
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMIA JO TAVERONI
Location Address10 STAFFORD LAKES PKWY STE 102Fredericksburg, VA 22406-7305
Mailing Address1340 Central Park Blvd Ste 100Fredericksburg, VA 22401-4940 · (540) 741-6982
Phone(540) 741-6982
Sole ProprietorNo
Enumeration DateJanuary 7, 2026
Last NPPES UpdateJune 8, 2026
NPPES CertifiedJune 8, 2026
✔ NPI 1205793502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in VA · 0110011893
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
10 STAFFORD LAKES PKWY STE 102, Fredericksburg, VA 22406
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Secondary Practice Locations 3

Location 1648 Mariann PlTownship Of Washington, NJ 07676-3934 · Phone (201) 663-0933
Location 2955 Wonder Rd Ste CStafford, VA 22554-7798 · Phone (540) 741-7890
Location 311131 Journal Pkwy Ste AKing George, VA 22485-3468 · Phone (540) 741-6982

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mia Jo Taveroni is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22406 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JORDYN LEIGH MILLER
Nurse Practitioner (Family)
10 STAFFORD LAKES PKWY STE 102
FREDERICKSBURG, VA 22406
Stafford County (540) 741-6982
ABDUL RAHMAN QANI PA-C
Physician Assistant (Surgical)
10 STAFFORD LAKES PKWY STE 102
FREDERICKSBURG, VA 22406
Stafford County (540) 741-6982
MRS. ALEXANDRA MURILLO
Physician Assistant
10 STAFFORD LAKES PKWY STE 102
FREDERICKSBURG, VA 22406
Stafford County (540) 741-6982

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mia Taveroni's NPI number?

The NPI number for Mia Taveroni is 1205793502. It was assigned to this individual provider in the NPPES registry on January 7, 2026.

Where is Mia Taveroni located?

Mia Taveroni practices at 10 Stafford Lakes Pkwy Ste 102, Fredericksburg, VA 22406. The listed phone number is (540) 741-6982.

What is Mia Taveroni's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mia Taveroni enrolled in Medicare?

Yes. Mia Taveroni is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mia Taveroni was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.