GWEN ELIZABETH DAVIS (FNP-BC; PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1508207135

GWEN ELIZABETH DAVIS (FNP-BC; PMHNP-BC) is a healthcare provider. based in Leesburg, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC; PMHNP-BC. They hold a License No. LG-0012517 (DE). The NPI Number for GWEN ELIZABETH DAVIS (FNP-BC; PMHNP-BC) is 1508207135

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
GWEN ELIZABETH DAVIS (FNP-BC; PMHNP-BC)
NPI
1508207135
Phone
(703) 443-2000
Address
163 FORT EVANS RD NE
Enumeration Date
11 July 2013
Last Update Date
24 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3022607360
Graduation Year
2020 (6 years ago)
PAC ID
5294962676
Group Practice PAC ID
5496744864
Professional Enrollment ID
I20240927001214
Address ID
DE199474574GE21635AVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:12State licenses:2Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

Provider Addresses for GWEN ELIZABETH DAVIS (FNP-BC; PMHNP-BC)

  • 163 FORT EVANS RD NE

    LEESBURG, VA 201764420

    Phone: (703) 443-2000

    Fax: (703) 771-4120

    Type: Mailing

  • 424 SAVANNAH RD

    LEWES, DE 199581462

    Phone: (302) 645-3300

    Type: Mailing

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: 2024-09-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20131210000707INurse PractitionerVATBD
I20240927001214INurse PractitionerDETBD

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 20176)

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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: 5496744864View full group profile

Reviews

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Frequently asked questions

Is there an official ID for GWEN ELIZABETH DAVIS (FNP-BC; PMHNP-BC) in U.S. healthcare records?
The official identifier for GWEN ELIZABETH DAVIS (FNP-BC; PMHNP-BC) is NPI 1508207135.
Is GWEN ELIZABETH DAVIS (FNP-BC; PMHNP-BC) still an active registrant?
GWEN ELIZABETH DAVIS (FNP-BC; PMHNP-BC) carries an active NPI according to the public dataset.
How would a patient describe GWEN ELIZABETH DAVIS (FNP-BC; PMHNP-BC)'s focus?
For GWEN ELIZABETH DAVIS (FNP-BC; PMHNP-BC), the primary taxonomy reads as Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with GWEN ELIZABETH DAVIS (FNP-BC; PMHNP-BC)?
Directory geography for GWEN ELIZABETH DAVIS (FNP-BC; PMHNP-BC) centers on Leesburg, Virginia.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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