JENNIFER G DOUGLAS CRNP, PMHNP, FNP
NPI 1114559036
Nurse Practitioner - Psychiatric/Mental Health in Owings Mills, MD
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 and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
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
Jennifer G Douglas Crnp, Pmhnp, Fnp 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.
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.
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.
OWINGS MILLS, MD 21117
OWINGS MILLS, MD 21117
OWINGS MILLS, MD 21117
OWINGS MILLS, MD 21117
OWINGS MILLS, MD 21117
OWINGS MILLS, MD 21117
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 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 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 25 days 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.
# Jennifer G Douglas, CRNP, PMHNP, FNP · NPI 1114559036
Psychiatric/Mental Health physician in Owings Mills, Maryland. Individual provider, active in the CMS NPPES registry since February 8, 2020.
## Identity
- **NPI:** 1114559036 (Entity type: Individual)
- **Enumerated:** February 8, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R250262 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10055 RED RUN BLVD STE 200, Owings Mills, MD 21117-4867
- **Phone:** (240) 345-1055 · **Fax:** (240) 752-0849
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1114559036) · Data from the CMS NPPES public registry.