ANNE M. NICKODEM, MD PC
NPI 1205916871
Plastic Surgery in Vienna, VA

Q: What is Anne M. Nickodem, MD PC's NPI number?

The NPI number for Anne M. Nickodem, MD PC is 1205916871. It was assigned to this organization in the NPPES registry on October 17, 2006.

Q: What is Anne M. Nickodem, MD PC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Active since October 17, 2006

8229 BOONE BLVD STE 365, VIENNA, VA 22182(703) 560-8711(703) 560-8725 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 16, 2025, Jun 9, 2025 (2 updates tracked since 2025).

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About Anne M. Nickodem, Md Pc NPPES

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

ANNE M. NICKODEM, MD PC (NPI 1205916871) is a healthcare organization registered as a plastic surgery in Vienna, Virginia and active in the NPI registry since October 2006. The organization lists Anne M Nickodem, President, as its authorized official.

NPPES Registry Identity

NPI1205916871

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameANNE M. NICKODEM, MD PC

Location Address8229 BOONE BLVD STE 365Vienna, VA 22182-2623

Mailing Address8229 Boone Blvd Ste 365Vienna, VA 22182-2623 · (703) 560-8711 · Fax (703) 552-2015

Phone(703) 560-8711

Fax(703) 560-8725

Organization SubpartNo

Authorized OfficialAnne M NickodemPresident · (703) 560-8711

Enumeration DateOctober 17, 2006

Last NPPES UpdateJune 16, 20252 updates tracked since enumeration

NPPES CertifiedJune 16, 2025

✔ NPI 1205916871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in VA · 0101047333

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

8229 BOONE BLVD STE 365, Vienna, VA 22182

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anne M. Nickodem, Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Anne M. Nickodem, MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Anne Nickodem, M.D.

Plastic and Reconstructive Surgery

NPI 1487826491

8229 BOONE BLVD STE 365
Vienna, VA 22182

(703) 560-8711

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Anne M. Nickodem, MD PC's NPI number?

The NPI number for Anne M. Nickodem, MD PC is 1205916871. It was assigned to this organization in the NPPES registry on October 17, 2006.

Where is Anne M. Nickodem, MD PC located?

Anne M. Nickodem, MD PC is located at 8229 Boone Blvd Ste 365, Vienna, VA 22182. The listed phone number is (703) 560-8711.

What is Anne M. Nickodem, MD PC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Anne M. Nickodem, MD PC enrolled in Medicare?

Yes. Anne M. Nickodem, MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Anne M. Nickodem, MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Anne M. Nickodem, MD PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Anne M. Nickodem, MD PC was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.