Miranda Lynn De Roos-Louden, PA-C, MPA, BIS
NPI 1023987831ActiveIndividual· Physician Assistant· Fairfax, VA
Physician Assistant (PA-C, MPA, BIS) in Fairfax, Virginia, licensed in VA, with an NPI issued in October 2025. Enrolled in Medicare as practitioner - physician assistant and practitioner - physician assistant.
Overview
| NPI | 1023987831 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C, MPA, BIS |
| Sole proprietor | No |
| NPI issued | Oct 30, 2025 |
| Last updated in NPPES | Jul 24, 2026 |
| Certified by provider | Jul 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 011001252 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (DC); Practitioner - Physician Assistant (VA) |
|---|
Education and affiliations
| Graduation year | 2026 |
|---|---|
| Medicare specialty | Physician Assistant |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Fairfax
- 1013687268
- 1033357199
- 1053065243
- 1053883579
- 1063172831
- 1073161964
- 1073986709
- 1083162663
- 1104583947
- 1164725982
- 1174901953
- 1205074366
All 158 physician assistants in Fairfax · All physician assistants in Virginia