DAERYL WILLIAMSON (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1295397123

DAERYL WILLIAMSON (PMHNP) is a healthcare provider. based in Richmond, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 0024177801 (VA). The NPI Number for DAERYL WILLIAMSON (PMHNP) is 1295397123

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
DAERYL WILLIAMSON (PMHNP)
NPI
1295397123
Phone
(804) 396-4313
Address
107 S 5TH ST
Enumeration Date
1 July 2019
Last Update Date
28 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8046958120
Graduation Year
2019 (7 years ago)
PAC ID
9739513359
Group Practice PAC ID
1254235989
Professional Enrollment ID
I20220819000338
Address ID
VA225605070TA330XXRDXX300
Telehealth
Yes

Contacts

Secure Messaging
daeryl.williamson@rbha.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness95
Years active:6State licenses:1Other names

8,303 NURSE PRACTITIONER in VA

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Provider Addresses for DAERYL WILLIAMSON (PMHNP)

  • 107, South 5th Street, Monroe Ward, Richmond, Richmond City, Virginia, 23219, United States

    RICHMOND, VA 232193825

    Phone: (804) 396-4313

    Type: Location

  • 5261, Park Ridge Court, Western Ridge, Crozet, Albemarle County, Virginia, 22932, United States

    CROZET, VA 229323162

    Phone: (804) 396-4313

    Type: Mailing

  • 11700 WESTBURY BLUFF DR

    MIDLOTHIAN, VA 231145177

    Phone: (804) 396-4313

    Type: Mailing

  • 10469 ATLEE STATION RD

    ASHLAND, VA 230058913

    Phone: (804) 923-4002

    Fax: (804) 613-6595

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $185.

Total Amount is formed as General ($185) + Research ($0) + Ownership ($0) = $185.

Last reported payment date: 2024-08-12 • Largest payer in this snapshot: Alkermes, Inc. ($98).

Total Amount

$185

General + Research + Ownership

Payments

8

Total payment records

General Amount

$185

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-12

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: 2022-08-19

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
I20220819000338INurse PractitionerVATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes15746$0
Q3014Telehealth originating site facility fee13047$0
99214Established patient office or other outpatient visit, 30-39 minutes1712$0
99215Established patient office or other outpatient visit, 40-54 minutes1711$0
View full utilization report →

Insurance plans in this area (ZIP 23219)

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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: 1254235989View full group profile
NameSpecialtyState
Mental Health CounselorVA
Nurse PractitionerVA
Clinical Social WorkerVA
Clinical Social WorkerVA
P S Y C H I A T R YVA
Clinical Social WorkerVA
-VA
Clinical Social WorkerVA
Mental Health CounselorVA
Clinical Social WorkerVA

Reviews

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Frequently asked questions

How do payers reference DAERYL WILLIAMSON (PMHNP)?
For DAERYL WILLIAMSON (PMHNP), use NPI 1295397123 as the unique 10-digit identifier.
Is there an active status for DAERYL WILLIAMSON (PMHNP)?
For scheduling context, DAERYL WILLIAMSON (PMHNP) is shown as active in the registry.
What expertise is attributed to DAERYL WILLIAMSON (PMHNP)?
DAERYL WILLIAMSON (PMHNP)'s specialty line reads Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is DAERYL WILLIAMSON (PMHNP) located near Richmond?
DAERYL WILLIAMSON (PMHNP) currently maps to Richmond, Virginia in this extract.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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