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JENNIFER G DOUGLAS CRNP, PMHNP, FNP
NPI 1114559036
Nurse Practitioner - Psychiatric/Mental Health in Owings Mills, MD

Active since February 08, 2020PECOS Enrolled
10055 RED RUN BLVD STE 200, OWINGS MILLS, MD 21117(240) 345-1055(240) 752-0849 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 14, 2026, May 9, 2025, Aug 21, 2023 and 5 more (8 updates tracked since 2020).

About Jennifer G Douglas Crnp, Pmhnp, Fnp NPPES

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

JENNIFER G DOUGLAS CRNP, PMHNP, FNP (NPI 1114559036) is an individual psychiatric/mental health provider in Owings Mills, Maryland, licensed in Maryland (R250262) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114559036
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJENNIFER G DOUGLASCredential: CRNP, PMHNP, FNP
Location Address10055 RED RUN BLVD STE 200Owings Mills, MD 21117-4867
Mailing Address10055 Red Run Blvd Ste 200Owings Mills, MD 21117-4867 · (240) 345-1055 · Fax (240) 752-0849
Phone(240) 345-1055
Fax(240) 752-0849
Sole ProprietorYes
Enumeration DateFebruary 8, 2020
Last NPPES UpdateJuly 14, 20268 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1114559036 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 MD · R250262
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R250262 (MD)
10055 RED RUN BLVD STE 200, Owings Mills, MD 21117
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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)

Jennifer G Douglas Crnp, Pmhnp, Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Jennifer Douglas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Meritus Medical Center Inc
48 mi
Anesthesiology
13121 BROOKLANE DR
Hagerstown, MD 21742
  • Reassigned Medicare billing, Maryland enrollment
  • 311 clinicians in this Medicare group
NPI 1841058831 (301) 790-8000
Brook Lane Behavioral Services, Inc.
48 mi
Psychiatry
13215 BROOK LANE, OUTPATIENT SERVICES
Hagerstown, MD 21742
  • Reassigned Medicare billing, Maryland enrollment
  • 47 clinicians in this Medicare group
NPI 1538647748 (301) 733-0330

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 21117 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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 8

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

PRIDE & JOY COUNSELING LLC
Social Worker (Clinical)
10055 RED RUN BLVD STE 200
OWINGS MILLS, MD 21117
Baltimore County (410) 929-1119
TAILORED FOR YOU BEHAVIORAL & MENTAL HEALTH SERVICES, LLC
Social Worker (Clinical)
10055 RED RUN BLVD STE 200
OWINGS MILLS, MD 21117
Baltimore County (443) 730-5974
WILDFLOWER PSYCHIATRY, LLC
Nurse Practitioner (Psychiatric/Mental Health)
10055 RED RUN BLVD STE 200
OWINGS MILLS, MD 21117
Baltimore County (240) 599-7804
WILDFLOWER PSYCHIATRY, LLC
Nurse Practitioner (Psychiatric/Mental Health)
10055 RED RUN BLVD STE 200
OWINGS MILLS, MD 21117
Baltimore County (240) 599-7804
ALEX BYRNE LCSW-C
Social Worker (Clinical)
10055 RED RUN BLVD STE 200
OWINGS MILLS, MD 21117
Baltimore County (410) 929-1119
GRAY SKIES BLUE COUNSELING SERVICES INC APC
Counselor (Professional)
10055 RED RUN BLVD STE 200
OWINGS MILLS, MD 21117
Baltimore County (301) 778-8043
SLEEP AND WELLNESS THERAPY, LLC
Counselor (Mental Health)
10055 RED RUN BLVD STE 200
OWINGS MILLS, MD 21117
Baltimore County (443) 785-2778
MRS. AMBER GRAY
Counselor (Professional)
10055 RED RUN BLVD STE 200
OWINGS MILLS, MD 21117
Baltimore County (443) 722-4657

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 Jennifer Douglas's NPI number?

The NPI number for Jennifer Douglas is 1114559036. It was assigned to this individual provider in the NPPES registry on February 8, 2020.

Where is Jennifer Douglas located?

Jennifer Douglas practices at 10055 Red Run Blvd Ste 200, Owings Mills, MD 21117. The listed phone number is (240) 345-1055.

What is Jennifer Douglas's specialty?

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

Is Jennifer Douglas enrolled in Medicare?

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

Which organizations bill Medicare for Jennifer Douglas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Douglas reassigns Medicare benefits to 2 organizations: Meritus Medical Center Inc (Hagerstown, MD) and Brook Lane Behavioral Services, Inc. (Hagerstown, MD). Each 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 Jennifer 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 Jennifer Douglas was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.