KAITLYN EMILY DOUGLAS PA-C
NPI 1396487526
Physician Assistant - Medical in Williamsburg, VA

Active since April 08, 2022PECOS EnrolledAccepts Medicare Assignment
74.92/100
CMS Quality Rating
207 BULIFANTS BLVD STE C, WILLIAMSBURG, VA 23188(757) 622-6315(757) 622-7022 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2025, Jun 24, 2024, Apr 12, 2022 and 1 more (4 updates tracked since 2022).

About Kaitlyn Emily Douglas Pa-c NPPES

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

KAITLYN EMILY DOUGLAS PA-C (NPI 1396487526) is an individual medical provider in Williamsburg, Virginia and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Norfolk, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1396487526
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKAITLYN EMILY DOUGLASCredential: PA-C
Location Address207 BULIFANTS BLVD STE CWilliamsburg, VA 23188-5732
Mailing Address6160 Kempsville Cir Ste 200aNorfolk, VA 23502-3945 · (757) 622-6315 · Fax (757) 622-7022
Fax(757) 622-7022
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 8, 2022
Last NPPES UpdateSeptember 10, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
NPI 1396487526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
207 BULIFANTS BLVD STE C, Williamsburg, VA 23188

Other Names 1

Former Name (1)Kaitlyn Rauchwarg Pa

Secondary Practice Location 1

Location 16160 Kempsville Cir Ste 200ANorfolk, VA 23502-3945 · Phone (757) 622-6315 · Fax (757) 622-7022

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

Kaitlyn Emily Douglas Pa-c 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 ID5597131045
PECOS Enrollment IDI20221025001039
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.

Areas of Expertise CMS Part B claims 13

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.
330 services288 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
290 services58 patients
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032
This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.
216 services199 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
157 services143 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.
113 services103 patients
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm 12052
This procedure involves repairing a wound on the face, ears, eyelids, nose, lips, or mouth that measures between 2.6-5.0 cm. The process includes cleaning, suturing if necessary, and dressing the wound to promote healing and prevent infection.
98 services92 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.38
Promoting Interoperability99
Improvement Activities30
Cost56.38

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
207 BULIFANTS BLVD STE C
WILLIAMSBURG, VA 23188
Dermatology
207 BULIFANTS BLVD STE C
WILLIAMSBURG, VA 23188

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 Kaitlyn Douglas's NPI number?

The NPI number for Kaitlyn Douglas is 1396487526. It was assigned to this individual provider in the NPPES registry on April 8, 2022. The provider is also known as Kaitlyn Rauchwarg PA.

Where is Kaitlyn Douglas located?

Kaitlyn Douglas practices at 207 Bulifants Blvd Ste C, Williamsburg, VA 23188. The listed phone number is (757) 622-6315.

What is Kaitlyn Douglas's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kaitlyn Douglas enrolled in Medicare?

Yes. Kaitlyn 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.

When was this NPI record last updated?

The NPPES record for Kaitlyn Douglas was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.