MS. PAMELA KAVANAUGH DOUGLAS (MSN,APRN,BC) – Mental Health Counselor, NPI 1003801028

MS. PAMELA KAVANAUGH DOUGLAS (MSN,APRN,BC) is a healthcare provider. based in Richmond, Virginia. specializing in CERTIFIED CLINICAL NURSE SPECIALIST (CNS). They hold the professional credentials MSN,APRN,BC. They hold a License No. 0015000655 (VA). The NPI Number for MS. PAMELA KAVANAUGH DOUGLAS (MSN,APRN,BC) is 1003801028

Main info

Female
Sole Proprietor
54 Years Of Experience
Accepts Medicare Assignment
Name
MS. PAMELA KAVANAUGH DOUGLAS (MSN,APRN,BC)
NPI
1003801028
Phone
(804) 282-4000
Address
6722 PATTERSON AVE
Enumeration Date
15 September 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8046773317
Graduation Year
1972 (54 years ago)
PAC ID
7517912967
Professional Enrollment ID
I20050321000586
Address ID
VA230606772GL4200XDRXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

22 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in VA

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Provider Addresses for MS. PAMELA KAVANAUGH DOUGLAS (MSN,APRN,BC)

  • 6722, Patterson Avenue, Westhampton Heights, West End, Richmond, Virginia, 23226, United States

    SUITE B

    RICHMOND, VA 232263419

    Phone: (804) 282-4000

    Fax: (804) 282-7799

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-03-21

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
I20050321000586ICertified Clinical Nurse Specialist (Cns)VATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour15514$0
View full utilization report →

Insurance plans in this area (ZIP 23226)

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Reviews

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Frequently asked questions

Is MS. PAMELA KAVANAUGH DOUGLAS (MSN,APRN,BC) listed with a National Provider Identifier?
Yes — MS. PAMELA KAVANAUGH DOUGLAS (MSN,APRN,BC) has NPI 1003801028 on file in the registry.
Is MS. PAMELA KAVANAUGH DOUGLAS (MSN,APRN,BC) still an active registrant?
MS. PAMELA KAVANAUGH DOUGLAS (MSN,APRN,BC) carries an active NPI according to the public dataset.
What clinical focus is listed for MS. PAMELA KAVANAUGH DOUGLAS (MSN,APRN,BC)?
At a glance, MS. PAMELA KAVANAUGH DOUGLAS (MSN,APRN,BC) is tied to Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MS. PAMELA KAVANAUGH DOUGLAS (MSN,APRN,BC)?
Travel planning: use Richmond, Virginia as the reference point for MS. PAMELA KAVANAUGH DOUGLAS (MSN,APRN,BC), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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