KAITLYN DOUGLAS CRNA
NPI 1033074521
Student in an Organized Health Care Education/Training Program in Ephrata, PA
About Kaitlyn Douglas Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAITLYN DOUGLAS CRNA (NPI 1033074521) is an individual student in an organized health care education/training program in Ephrata, Pennsylvania, licensed in Pennsylvania (732545) and active in the NPI registry since December 2025. She is affiliated with Wellspan Ephrata Community Hospital, maintains 12 additional practice locations, and is a graduate of Other (2026).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 12
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
Kaitlyn Douglas Crna 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.
Medicare Billing Reassignment
Medicare enrollment records show Kaitlyn Douglas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ephrata, PA 17522
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,080 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wellspan Ephrata Community Hospital
Acute Care Hospitals · Ephrata, PAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 1033074521. It was assigned to this individual provider in the NPPES registry on December 17, 2025.
Where is Kaitlyn Douglas located?
Kaitlyn Douglas practices at 169 Martin Ave, Ephrata, PA 17522. The listed phone number is (717) 733-0311.
What is Kaitlyn Douglas's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
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.
Which organization bills Medicare for Kaitlyn Douglas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlyn Douglas reassigns Medicare benefits to Wellspan Medical Group (Ephrata, PA). The 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 Kaitlyn Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kaitlyn Douglas affiliated with any hospitals?
According to CMS data, Kaitlyn Douglas is affiliated with Wellspan Ephrata Community Hospital.
When was this NPI record last updated?
The NPPES record for Kaitlyn Douglas was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Kaitlyn Douglas, CRNA · NPI 1033074521
Student in an Organized Health Care Education/Training Program provider in Ephrata, Pennsylvania. Individual provider, active in the CMS NPPES registry since December 17, 2025.
## Identity
- **NPI:** 1033074521 (Entity type: Individual)
- **Enumerated:** December 17, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 732545 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 169 MARTIN AVE, Ephrata, PA 17522-1734
- **Phone:** (717) 733-0311
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Wellspan Medical Group (NPI 1215524913, Ephrata, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2026
## Record status
- **NPPES last updated:** March 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1033074521) · Data from the CMS NPPES public registry.