MIRIAM MAGDALENA ROBERTSON PA-C
NPI 1407472574
Physician Assistant in Manassas, VA

Active since June 24, 2020PECOS Enrolled
9001 DIGGES RD STE 105, MANASSAS, VA 20110(703) 369-5000 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 27, 2022, Nov 1, 2022, Jun 24, 2020 (3 updates tracked since 2020).

About Miriam Magdalena Robertson Pa-c NPPES

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

MIRIAM MAGDALENA ROBERTSON PA-C (NPI 1407472574) is an individual physician assistant in Manassas, Virginia, licensed in Virginia (0110007354) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Stafford.

NPPES Registry Identity

NPI1407472574
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMIRIAM MAGDALENA ROBERTSONCredential: PA-C
Location Address9001 DIGGES RD STE 105Manassas, VA 20110-4414
Mailing Address2000 N Beauregard St Unit 628Alexandria, VA 22311-4645 · (540) 220-3594
Sole ProprietorYes
Enumeration DateJune 24, 2020
Last NPPES UpdateDecember 27, 20223 updates tracked since enumeration
NPPES CertifiedDecember 27, 2022
NPI 1407472574 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 · 0110007354
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.

9001 DIGGES RD STE 105, Manassas, VA 20110

Secondary Practice Location 1

Location 120 Brixham CtStafford, VA 22554-7667 · Phone (540) 220-3594

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Miriam Magdalena Robertson Pa-c 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 20110 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 2

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

Physician Assistant
9001 DIGGES RD STE 105
MANASSAS, VA 20110
Physician Assistant
9001 DIGGES RD STE 105
MANASSAS, VA 20110

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 Miriam Robertson's NPI number?

The NPI number for Miriam Robertson is 1407472574. It was assigned to this individual provider in the NPPES registry on June 24, 2020.

Where is Miriam Robertson located?

Miriam Robertson practices at 9001 Digges Rd Ste 105, Manassas, VA 20110. The listed phone number is (703) 369-5000.

What is Miriam Robertson's specialty?

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

Is Miriam Robertson enrolled in Medicare?

Yes. Miriam Robertson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Miriam Robertson was last updated on December 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.