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DAERYL WILLIAMSON PMHNP
NPI 1295397123
Nurse Practitioner - Psychiatric/Mental Health in Ashland, VA

Active since July 01, 2019PECOS EnrolledAccepts Medicare Assignment
10469 ATLEE STATION RD, ASHLAND, VA 23005(804) 923-4002(804) 613-6595 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 28, 2026, Jul 1, 2019 (2 updates tracked since 2019).

About Daeryl Williamson Pmhnp NPPES

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

DAERYL WILLIAMSON PMHNP (NPI 1295397123) is an individual psychiatric/mental health provider in Ashland, Virginia, licensed in Virginia (0024177801) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1295397123
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDAERYL WILLIAMSONCredential: PMHNP
Location Address10469 ATLEE STATION RDAshland, VA 23005-8913
Mailing Address11700 Westbury Bluff DrMidlothian, VA 23114-5177 · (804) 396-4313
Phone(804) 923-4002
Fax(804) 613-6595
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 1, 2019
Last NPPES UpdateJanuary 28, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
✔ NPI 1295397123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in VA · 0024177801
10469 ATLEE STATION RD, Ashland, VA 23005
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Daeryl Williamson Pmhnp 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 ID9739513359
PECOS Enrollment IDI20220819000338
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Daeryl Williamson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Coastal Psychiatry And Wellness LLC
Same address
Psychiatric/Mental Health
10469 ATLEE STATION RD STE 100
Ashland, VA 23005
  • Reassigned Medicare billing, Virginia enrollment
  • 2 clinicians in this Medicare group
NPI 1740089416 (804) 923-4002
Middle Peninsula Northern Neck Mental Health & Retardation
51 mi
Mental Health (Including Community Mental Health Center)
9228 GEORGE WASHINGTON MEMORIAL HWY
Gloucester, VA 23061
  • Reassigned Medicare billing, Virginia enrollment
  • 54 clinicians in this Medicare group
NPI 1497717615 (804) 693-5068

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
134 services46 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
81 services12 patients
Telehealth originating site facility fee Q3014
The Telehealth originating site facility fee is a charge for the location where you receive your telehealth service, such as a clinic or hospital. It covers costs like equipment use, technical support, and other resources needed to provide a secure, effective telehealth visit.
81 services36 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
26 services15 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23005 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 Daeryl Williamson's NPI number?

The NPI number for Daeryl Williamson is 1295397123. It was assigned to this individual provider in the NPPES registry on July 1, 2019.

Where is Daeryl Williamson located?

Daeryl Williamson practices at 10469 Atlee Station Rd, Ashland, VA 23005. The listed phone number is (804) 923-4002.

What is Daeryl Williamson's specialty?

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

Is Daeryl Williamson enrolled in Medicare?

Yes. Daeryl Williamson 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.

Which organizations bill Medicare for Daeryl Williamson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daeryl Williamson reassigns Medicare benefits to 2 organizations: Coastal Psychiatry And Wellness LLC (Ashland, VA) and Middle Peninsula Northern Neck Mental Health & Retardation (Gloucester, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Daeryl Williamson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Daeryl Williamson was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.