DR. LIAM DONOVAN (CRNP-PMH) – Psychiatric/Mental Health Nurse Practitioner, NPI 1083452502

DR. LIAM DONOVAN (CRNP-PMH) is a healthcare provider. based in Glen burnie, Maryland. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP-PMH. They hold a License No. R245773 (MD). The NPI Number for DR. LIAM DONOVAN (CRNP-PMH) is 1083452502

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
DR. LIAM DONOVAN (CRNP-PMH)
NPI
1083452502
Phone
Not provided
Address
7452 BALTIMORE ANNAPOLIS BLVD # 102
Enumeration Date
18 July 2024
Last Update Date
19 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4107661544
Graduation Year
2024 (2 years ago)
PAC ID
9931647294
Group Practice PAC ID
3779711973
Professional Enrollment ID
I20240817000030
Address ID
MD210613547GL7452XBLVD401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

6,767 NURSE PRACTITIONER in MD

Provider Addresses for DR. LIAM DONOVAN (CRNP-PMH)

  • 7452 BALTIMORE ANNAPOLIS BLVD # 102

    GLEN BURNIE, MD 210613547

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 41 Open Payments records for all available years, with a total value of $1,129.

Total Amount is formed as General ($1,129) + Research ($0) + Ownership ($0) = $1,129.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($247).

Total Amount

$1,129

General + Research + Ownership

Payments

41

Total payment records

General Amount

$1,129

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240817000030INurse PractitionerMDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 21061)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779711973View full group profile
NameSpecialtyState
Nurse PractitionerMD
Nurse PractitionerMD
Mental Health CounselorMD
-AE

Reviews

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Frequently asked questions

Does DR. LIAM DONOVAN (CRNP-PMH) have a public NPI I can cite?
Public records show DR. LIAM DONOVAN (CRNP-PMH) under NPI 1083452502.
Should I treat DR. LIAM DONOVAN (CRNP-PMH) as an active provider?
Patients and plans typically see DR. LIAM DONOVAN (CRNP-PMH) as active in the national extract.
What type of care does DR. LIAM DONOVAN (CRNP-PMH) provide?
DR. LIAM DONOVAN (CRNP-PMH)'s profile centers on Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to DR. LIAM DONOVAN (CRNP-PMH)?
The directory associates DR. LIAM DONOVAN (CRNP-PMH) with Glen Burnie, Maryland. Check all listed addresses for suites or satellite offices.
Why is information missing for DR. LIAM DONOVAN (CRNP-PMH)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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