BRYONNA DOUGLAS (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1265175202
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,307 NURSE PRACTITIONER in VA
Provider Addresses for BRYONNA DOUGLAS (PMHNP-BC)
8288 Tabor Ln
Fairfax Station, VA 220393057
Phone: (808) 722-2865
Type: Location
8040 Georgia Ave Ste 170
Silver Spring, MD 209104959
Phone: (202) 360-4787
Type: Location
8288 TABOR LN
FAIRFAX STATION, VA 220393057
Phone: (808) 722-2865
Type: Location
3024 CORIANDER PL
BRYANS ROAD, MD 206167048
Phone: (808) 722-2865
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $166.
Total Amount is formed as General ($166) + Research ($0) + Ownership ($0) = $166.
Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($41).
Total Amount
$166
General + Research + Ownership
Payments
7
Total payment records
General Amount
$166
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-09
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-03-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231011004262 | I | Nurse Practitioner | VA | TBD |
| I20240223003160 | I | Nurse Practitioner | DC | TBD |
| I20250328001392 | I | Nurse Practitioner | MD | TBD |
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.
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 22039)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Psychiatry, Addiction Medicine | MD | |
| Clinical Social Worker | MD | |
| Clinical Social Worker | MD | |
| Mental Health Counselor | MD | |
| - | MD | |
| - | MD | |
| Mental Health Counselor | MD | |
| Clinical Social Worker | MD | |
| Mental Health Counselor | MD | |
| Nurse Practitioner | MD |
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