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DR. ESME MARGUERITE DOUGLAS DNP, PMHNP-BC
NPI 1003642836
Nurse Practitioner - Psychiatric/Mental Health in Port Chester, NY

Active since September 09, 2024PECOS EnrolledAccepts Medicare Assignment
21 WILLETT AVE APT 212, PORT CHESTER, NY 10573(914) 552-7502 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Esme Marguerite Douglas Dnp, Pmhnp-bc NPPES

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

DR. ESME MARGUERITE DOUGLAS DNP, PMHNP-BC (NPI 1003642836) is an individual psychiatric/mental health provider in Port Chester, New York, licensed in New York (F406319-01) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1003642836
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. ESME MARGUERITE DOUGLASCredential: DNP, PMHNP-BC
Location Address21 WILLETT AVE APT 212Port Chester, NY 10573-4355
Mailing Address21 Willett Ave Apt 212Port Chester, NY 10573-4355 · (914) 552-7502
Phone(914) 552-7502
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 9, 2024
Last NPPES UpdateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
✔ NPI 1003642836 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
License✔ Licensed in NY · F406319-01
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 857544-01 (NY)
21 WILLETT AVE APT 212, Port Chester, NY 10573
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Secondary Practice Location 1

Location 180 5th Ave Ofc 903-10New York, NY 10011-8002 · Phone (347) 707-7735 · Fax (347) 745-0992

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

Dr. Esme Marguerite Douglas Dnp, 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 ID7911491626
PECOS Enrollment IDI20251210002473
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10573 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 Esme Douglas's NPI number?

The NPI number for Esme Douglas is 1003642836. It was assigned to this individual provider in the NPPES registry on September 9, 2024.

Where is Esme Douglas located?

Esme Douglas practices at 21 Willett Ave Apt 212, Port Chester, NY 10573. The listed phone number is (914) 552-7502.

What is Esme Douglas's specialty?

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

Is Esme Douglas enrolled in Medicare?

Yes. Esme 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 Esme Douglas was last updated on September 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.