Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Caitlyn Taylor Primavera, PA

Individual provider Physician Assistant · NPI 1093476731

MS. Caitlyn Taylor Primavera, PA is a Physician Assistant in Virginia Beach, Virginia. Qualified in 2022, 4 years ago. Practices with Riverside Physician Services Inc, a 793-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Colorado and Virginia.

Years since qualifying
4
Licensed in
CO, VA
In the registry since
2022
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3021 Lynnhaven Dr
Virginia Beach, VA 23451-1112
Phone: (850) 896-7207
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 439 Edwards Access Rd, Edwards, CO 81632-5634 — (970) 445-2489
  • 2244 Executive Dr, Hampton, VA 23666-2430 — (757) 827-1001

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110009756 (VA)
Physician Assistant Taxonomy 363A00000X · Licence PA.0009814 (CO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1093476731
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJanuary 5, 2022
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Riverside Physician Services Inc — 793 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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