KATHLEEN ANN GORHAM (CRNP-A) – Adult Health Nurse Practitioner, NPI 1386895860

KATHLEEN ANN GORHAM (CRNP-A) is a healthcare provider. based in Stafford, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP-A. They hold a License No. 0024171732 (VA). The NPI Number for KATHLEEN ANN GORHAM (CRNP-A) is 1386895860

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN ANN GORHAM (CRNP-A)
NPI
1386895860
Phone
(703) 522-2727
Address
450 GARRISONVILLE RD
Enumeration Date
2 October 2008
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7039714604
Graduation Year
1996 (30 years ago)
PAC ID
7911220868
Group Practice PAC ID
4981688835
Professional Enrollment ID
I20160527000236
Address ID
VA223103251AL6355XLNXX307
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

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Provider Addresses for KATHLEEN ANN GORHAM (CRNP-A)

  • 450, Garrisonville Road, Stafford County, Virginia, 22554, United States

    STE 109

    STAFFORD, VA 225541532

    Phone: (703) 522-2727

    Fax: (703) 542-3753

    Type: Mailing

  • 109, Garrisonville Road, Stafford County, Virginia, 22554, United States

    STAFFORD, VA 225541532

    Phone: (703) 522-2727

    Fax: (703) 542-3753

    Type: Location

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: 2018-03-26

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141229000859INurse PractitionerVATBD
I20160527000236INurse PractitionerDCTBD
I20180326000257INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes14960$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes9741$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes5917$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes5151$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes4929$0
View full utilization report →

Insurance plans in this area (ZIP 22554)

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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: 4981688835View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YVA
-MD
-VA
Nurse PractitionerVA
Pain Management, Anesthesiology, Pain ManagementMD
Interventional Pain Management, Physical Medicine And RehabilitationVA
Interventional Pain Management, Physical Medicine And RehabilitationVA
Physician AssistantMD
Physical Medicine And Rehabilitation, Interventional Pain ManagementMD
Nurse PractitionerVA

Reviews

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Frequently asked questions

What NPI should I save for KATHLEEN ANN GORHAM (CRNP-A)?
Save NPI 1386895860 if you need a stable reference for KATHLEEN ANN GORHAM (CRNP-A).
Does this profile mean KATHLEEN ANN GORHAM (CRNP-A) is currently active?
Yes — KATHLEEN ANN GORHAM (CRNP-A) appears active in the national provider directory.
What field does KATHLEEN ANN GORHAM (CRNP-A) work in?
You can think of KATHLEEN ANN GORHAM (CRNP-A) as practicing within Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is KATHLEEN ANN GORHAM (CRNP-A)'s primary listing?
We display Stafford, Virginia because that is what the record indicates for KATHLEEN ANN GORHAM (CRNP-A).
How can I contact KATHLEEN ANN GORHAM (CRNP-A)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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