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TWILA MARIE DOUGLAS
NPI 1033088539
Nurse Practitioner - Family in Urbana, IL

Active since November 03, 2025PECOS Enrolled
611 W PARK ST, URBANA, IL 61801(217) 383-3313 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Twila Marie Douglas NPPES

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

TWILA MARIE DOUGLAS (NPI 1033088539) is an individual family provider in Urbana, Illinois, licensed in Illinois (209.033813) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1033088539
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTWILA MARIE DOUGLAS
Location Address611 W PARK STUrbana, IL 61801-2501
Mailing Address611 W Park StUrbana, IL 61801-2501 · (217) 383-3313
Phone(217) 383-3313
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 3, 2025
NPPES CertifiedNovember 3, 2025
✔ NPI 1033088539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.033813
611 W PARK ST, Urbana, IL 61801
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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 (PECOS)

Twila Marie Douglas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527540731
PECOS Enrollment IDI20260306000336
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 Reassignment

Medicare enrollment records show Twila Douglas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Promise Healthcare Nfp
1.0 mi
Federally Qualified Health Center (FQHC)
1002 S RACE ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • 48 clinicians in this Medicare group
NPI 1952894180 (217) 239-4220

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61801 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Other Providers at the Same Location NPPES 20

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

DR. UDAY BHASKAR KANAKADANDI MD
Internal Medicine (Interventional Cardiology)
611 W PARK ST, HVI
URBANA, IL 61801
Champaign County (217) 383-3110
DR. VIKAS DESAI MD
Urology
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 383-3160
ANUJA BEDI D.O, M.P.H
Family Medicine
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 383-3311
EMILY REMINGTON NP
Nurse Practitioner (Women's Health)
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 383-3140
MAHMOUD ELRAKHAWY MD
Surgery (Vascular Surgery)
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 904-7000
KENDALL E WALLACE APRN
Nurse Practitioner (Family)
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 383-3311
ANNE FAHNESTOCK PT
Physical Therapist
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 383-3311
TIMTIM APPERSON APRN
Family Medicine
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 954-2805

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 Twila Douglas's NPI number?

The NPI number for Twila Douglas is 1033088539. It was assigned to this individual provider in the NPPES registry on November 3, 2025.

Where is Twila Douglas located?

Twila Douglas practices at 611 W Park St, Urbana, IL 61801. The listed phone number is (217) 383-3313.

What is Twila Douglas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Twila Douglas enrolled in Medicare?

Yes. Twila Douglas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Twila Douglas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Twila Douglas reassigns Medicare benefits to Promise Healthcare Nfp (Urbana, IL). 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 Twila Douglas'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 Twila Douglas was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.