Active NPI
Pamela Hevener, N.P.
- Psychiatric/Mental Health Nurse Practitioner
- Staunton, VA
National Provider Identifier
1548408529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0017139355
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548408529 | Medicaid | VA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0017139355 | VA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Health Systems,PLC | Psychiatric/Mental Health | Current | 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
- 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.
-
dba Comprehensive Behavioral Health
- Psychiatry Physician
- Staunton, VA
- NPI 1649376450
Psychiatric/Mental Health
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.