KAITLIN POND (P.A.) – Physician Assistant, NPI 1023653995

KAITLIN POND (P.A.) is a healthcare provider. based in Ruther glen, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 0110006972 (VA). The NPI Number for KAITLIN POND (P.A.) is 1023653995

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KAITLIN POND (P.A.)
NPI
1023653995
Phone
(804) 448-0198
Address
8051 PROSPERITY WAY STE 100
Enumeration Date
14 November 2019
Last Update Date
22 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8043063219
Graduation Year
2019 (7 years ago)
PAC ID
9537594106
Group Practice PAC ID
1850790957
Professional Enrollment ID
I20200109001093
Address ID
VA232302215RI6010XSTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in VA

Provider Addresses for KAITLIN POND (P.A.)

  • 8051 PROSPERITY WAY STE 100

    RUTHER GLEN, VA 225465812

    Phone: (804) 448-0198

    Fax: (804) 448-0598

    Type: Location

  • 2632 SALEM CHURCH RD

    FREDERICKSBURG, VA 224076484

    Phone: (540) 899-3440

    Fax: (540) 899-3434

    Type: Location

  • PO BOX 419402

    BOSTON, MA 022419402

    Phone: (855) 290-1552

    Fax: (336) 774-6872

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $179.

Total Amount is formed as General ($179) + Research ($0) + Ownership ($0) = $179.

Last reported payment date: 2024-08-20 • Largest payer in this snapshot: ABBVIE INC. ($68).

Total Amount

$179

General + Research + Ownership

Payments

9

Total payment records

General Amount

$179

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-20

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-01-09

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
I20200109001093IPhysician AssistantVATBD

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 22546)

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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: 1850790957View full group profile
NameSpecialtyState
Mental Health CounselorVA
Marriage And Family TherapistVA
Clinical Social WorkerVA
Mental Health CounselorPA
Clinical Social WorkerVA
Nurse PractitionerVA
Nurse PractitionerMD
Mental Health CounselorVA
Clinical Social WorkerVA
Nurse PractitionerVA

Reviews

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Frequently asked questions

Is KAITLIN POND (P.A.) listed with a National Provider Identifier?
Yes — KAITLIN POND (P.A.) has NPI 1023653995 on file in the registry.
Would KAITLIN POND (P.A.) appear as active to a payer?
You can treat KAITLIN POND (P.A.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to KAITLIN POND (P.A.)?
KAITLIN POND (P.A.)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KAITLIN POND (P.A.)?
Travel planning: use Ruther Glen, Virginia as the reference point for KAITLIN POND (P.A.), then confirm.
When was this NPI issued?
Enumeration for KAITLIN POND (P.A.) is noted as November 14, 2019 where the registry provides it.

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