Individual provider Active NPI

Pamela Hevener, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Staunton, VA
National Provider Identifier
1548408529
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0017139355 Issued in VA
Practice address
25 Myers Corner Dr
Staunton, VA 24401-6342
Phone
(540) 688-2646
Fax
(540) 688-2656
NPI assigned
Jan 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0017139355 VA Primary

Addresses

Primary practice location

25 Myers Corner Dr
Staunton, VA 24401-6342

Mailing address

25 Myers Corner Dr
Staunton, VA 24401-6342
Phone (540) 688-2646

Other identifiers 1

IdentifierTypeStateIssuer
1548408529MedicaidVA

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
I20090504000586 VA Practitioner - Nurse Practitioner 6103974936 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0017139355VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Health Systems,PLC Psychiatric/Mental Health CurrentSince Jan 1, 2012 Accepting new patients

Locations

9 Pinnacle Dr
Ste 105
Fishersville, VA 22939
Phone (540) 688-2646

25 Myers Corner Dr
Staunton, VA 24401
Phone (540) 688-2646

Interoperability endpoints

  • Direct secure messaging: comprehensivebehavioralhealth.pamelahevener@142606.advancedmd-direct.com

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": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1548408529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MYERS CORNER DR",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244016342",
            "telephone_number": "540-688-2646",
            "fax_number": "540-688-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MYERS CORNER DR",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244016342",
            "telephone_number": "540-688-2646",
            "fax_number": "540-688-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEVENER",
        "first_name": "PAMELA",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-28",
        "last_updated": "2023-09-07",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0017139355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548408529",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staunton, VA

Sources for this page

Verify at the official NPI Registry.