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BRYONNA DOUGLAS PMHNP-BC
NPI 1265175202
Nurse Practitioner - Psychiatric/Mental Health in Bryans Road, MD

Active since April 18, 2022PECOS EnrolledAccepts Medicare Assignment
3024 CORIANDER PL, BRYANS ROAD, MD 20616(808) 722-2865 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 27, 2025, Sep 10, 2024, Sep 4, 2024 and 2 more (5 updates tracked since 2022).

About Bryonna Douglas Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRYONNA DOUGLAS PMHNP-BC (NPI 1265175202) is an individual psychiatric/mental health provider in Bryans Road, Maryland, licensed in Maryland (R262900) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with University Of Md Capital Region Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265175202
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameBRYONNA DOUGLASCredential: PMHNP-BC
Location Address3024 CORIANDER PLBryans Road, MD 20616-7048
Mailing Address8288 Tabor LnFairfax Station, VA 22039-3057 · (808) 722-2865
Phone(808) 722-2865
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateApril 18, 2022
Last NPPES UpdateMarch 27, 20255 updates tracked since enumeration
NPPES CertifiedMarch 27, 2025
✔ NPI 1265175202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in MD · R262900✔ Licensed in VA · 0024185517
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 0001301512 (VA)
3024 CORIANDER PL, Bryans Road, MD 20616
Open in Google Maps ↗

Secondary Practice Locations 2

Location 18288 Tabor LnFairfax Station, VA 22039-3057 · Phone (808) 722-2865
Location 28040 Georgia Ave Ste 170Silver Spring, MD 20910-4959 · Phone (202) 360-4787

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bryonna Douglas Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446605380
PECOS Enrollment IDI20240223003160, I20250328001392
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of MD Capital Region Medical Center

Acute Care Hospitals · Upper Marlboro, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210003
Location901 North Harry S Truman DriveUpper Marlboro, MD 20774 · Prince Georges County
Emergency services Birthing friendly

Luminis Health Anne Arundel Medical Center, Inc

Acute Care Hospitals · Annapolis, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210023
Location2001 Medical ParkwayAnnapolis, MD 21401 · Anne Arundel County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20616 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryonna Douglas's NPI number?

The NPI number for Bryonna Douglas is 1265175202. It was assigned to this individual provider in the NPPES registry on April 18, 2022.

Where is Bryonna Douglas located?

Bryonna Douglas practices at 3024 Coriander Pl, Bryans Road, MD 20616. The listed phone number is (808) 722-2865.

What is Bryonna Douglas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Bryonna Douglas enrolled in Medicare?

Yes. Bryonna Douglas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Bryonna Douglas affiliated with any hospitals?

According to CMS data, Bryonna Douglas is affiliated with University Of MD Capital Region Medical Center and Luminis Health Anne Arundel Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Bryonna Douglas was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.