Individual provider Active NPI

Kaitlyn Emily Douglas, PA-C

  • Medical Physician Assistant
  • Williamsburg, VA
National Provider Identifier
1396487526
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
207 Bulifants Blvd Ste C
Williamsburg, VA 23188-5732
Phone
(757) 622-6315
Fax
(757) 622-7022
NPI assigned
Apr 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

207 Bulifants Blvd Ste C
Williamsburg, VA 23188-5732

Mailing address

6160 Kempsville Cir Ste 200a
Norfolk, VA 23502-3945
Phone (757) 622-6315

Other practice location 1

6160 Kempsville Cir Ste 200A
Norfolk, VA 23502-3945
Phone (757) 622-6315

Other names 1

  • Kaitlyn Rauchwarg Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221025001039 VA Practitioner - Physician Assistant 5597131045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pariser Dermatology Specialists LTDGroup PAC ID 7113902925, 33 clinicians

Practice addresses (Care Compare)

11842 Rock Landing Dr
Suite 120
Newport News, VA 23606-4437
Phone (757) 595-8816

1248 Perimeter Pkwy
Suite 482
Virginia Beach, VA 23454-5914
Phone (757) 496-5085

Merit-based Incentive Payment System (MIPS)

Final score
82.4 of 100Reported as group
Quality
78.82
Improvement activities
40
Cost
80.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: kaitlynrauchwarg@pdsltd.allscriptsdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1396487526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 KEMPSVILLE CIR STE 200A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023945",
            "telephone_number": "757-622-6315",
            "fax_number": "757-622-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 BULIFANTS BLVD STE C",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231885732",
            "telephone_number": "757-622-6315",
            "fax_number": "757-622-7022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6160 Kempsville Cir Ste 200A",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235023945",
            "country_code": "US",
            "telephone_number": "757-622-6315",
            "fax_number": "757-622-7022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "KAITLYN",
        "middle_name": "EMILY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-08",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "RAUCHWARG",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.