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Deactivated NPI 1053894493 Deactivated / Inactive NPI Female Practitioner

Natasha Olliver , PA-C

Physician Assistant • Mc Lean, VA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Natasha Olliver has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 12, 2018
NPI Deactivation Date March 26, 2025
Total Practice Duration ~7 Years of Practice (2018 – 2025)

Professional Overview & Biography Verified Profile Summary

Natasha Olliver, PA-C was a registered Physician Assistant practicing in Mc Lean, VA. Throughout an active medical career spanning 7 years, Natasha Olliver provided care at the practice location at 8200 GREENSBORO DR STE 900 until profile deactivation on 2025-03-26.

Historical Medicare Part B clinical services included established patient outpatient office visit, psychiatric diagnostic evaluation with medical services. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

8200 Greensboro Dr Ste 900

Mc Lean, VA 221024931

Telephone 7036659613
Fax 7036659689
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Mc Lean, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.7 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
32 Specialists

Practicing in Mc Lean, VA (4432 Statewide)

Telehealth Adoption Rate
15.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
50.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
55 13 $209.67 $125.80
90792 Psychiatric diagnostic evaluation with medical services
16 16 $420.00 $186.39

Medical Specialties & State Licenses

CMS Verified: 2026-03-03
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License VA 011000636

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License MD C0006935

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.

Secondary Practice Locations

12099 Government Center Pkwy Ste 2300

Fairfax, VA 220355501

Phone: 7032464949

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Patricia De Arbeloa , MD

Specialist/Technologist, Other

NPI 1346010980

Doctor of Medicine (M.D.)

Dr. Edik Blais , PhD

Specialist/Technologist, Other - Geneticist, Medical (PhD)

NPI 1619747367

Doctor of Philosophy (Ph.D.)

Elisabeth Varkiani

Psychologist - Clinical

NPI 1669990677

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

22 Historical Events
📍
Updated Practice Location March 03, 2026

Registered at 8200 GREENSBORO DR STE 900, MC LEAN, VA 221024931 (Tel: 7036659613)

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Updated Business Mailing Address March 03, 2026

Registered at PO BOX 710032, HERNDON, VA 201710032 (Tel: 7036659613)

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Updated Practice Location April 15, 2025

Registered at 3918 CENTREVILLE RD, CHANTILLY, VA 201513224 (Tel: 7036576925)

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Updated Business Mailing Address April 15, 2025

Registered at 8200 GREENSBORO DR STE 900, MC LEAN, VA 221024931 (Tel: 7036659613)

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Provider Name / Credentials Updated April 15, 2025

Recorded as NATASHA OLLIVER, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2025

Physician Assistant (License #C0006935 in MD)

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NPI Profile Deactivated March 26, 2025

Record deactivated on March 26, 2025

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Updated Practice Location April 01, 2024

Registered at 3918 CENTREVILLE RD, CHANTILLY, VA 201513224 (Tel: 7036576925)

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2024

Physician Assistant (License #C0006935 in MD)

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2023

Physician Assistant (License #011000636 in VA)

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Updated Practice Location March 13, 2022

Registered at 8200 GREENSBORO DR STE 900, MC LEAN, VA 221024931 (Tel: 7036656913)

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Updated Business Mailing Address March 13, 2022

Registered at 8200 GREENSBORO DR STE 900, MC LEAN, VA 221024931 (Tel: 7036656913)

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2022

Physician Assistant (License #C0006935 in MD)

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Updated Business Mailing Address November 11, 2020

Registered at 8500 EXECUTIVE PARK AVE STE 200, FAIRFAX, VA 220312228 (Tel: 7036985220)

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2020

Physician Assistant (License #011000636 in VA)

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Updated Practice Location November 05, 2020

Registered at 8500 EXECUTIVE PARK AVE STE 200, FAIRFAX, VA 220312228 (Tel: 7036985220)

NPI Profile Active September 12, 2018

NPI status registered as active in NPPES database

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Updated Practice Location September 12, 2018

Registered at 141 LEEDS CREEK CIR, ODENTON, MD 211133904 (Tel: 5052056397)

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Updated Business Mailing Address September 12, 2018

Registered at 141 LEEDS CREEK CIR, ODENTON, MD 211133904 (Tel: 5052056397)

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Provider Name / Credentials Updated September 12, 2018

Recorded as NATASHA OLLIVER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2018

Physician Assistant (License #C0006935 in MD)

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Initial NPI Registration & Enumeration September 12, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053894493
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 12, 2018
Last Update: March 03, 2026
Deactivation Date: March 26, 2025
Sole Proprietor: No

Mailing Address

Po Box 710032

Herndon, VA 201710032

Phone: 7036659613

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.