Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARGIE DOUGLAS
NPI 1154623585
Nurse Practitioner - Adult Health in Springfield, IL

Active since November 17, 2010PECOS Enrolled
619 E MASON ST, SUITE 4P57, SPRINGFIELD, IL 62701(217) 788-0706 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Margie Douglas NPPES

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

MARGIE DOUGLAS (NPI 1154623585) is an individual adult health provider in Springfield, Illinois, licensed in Illinois (209008390) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154623585
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMARGIE DOUGLAS
Location Address619 E MASON ST, SUITE 4P57Springfield, IL 62701-1034
Mailing Address619 E Mason St, Suite 4p57Springfield, IL 62701-1034
Sole ProprietorNo
Enumeration DateNovember 17, 2010
Last NPPES UpdateSeptember 29, 2026
✔ NPI 1154623585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in IL · 209008390
619 E MASON ST, Springfield, IL 62701

Other Identifiers 1

OtherP00907053IL · Rr Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Margie Douglas 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62701 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.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
619 E MASON ST, SUITE 3P25
SPRINGFIELD, IL 62701
Specialist
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Internal Medicine (Interventional Cardiology)
619 E MASON ST
SPRINGFIELD, IL 62701
Specialist
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Nurse Practitioner (Adult Health)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Physician Assistant
619 E MASON ST
SPRINGFIELD, IL 62701
Nurse Practitioner (Family)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Internal Medicine (Cardiovascular Disease)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701

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 Margie Douglas's NPI number?

The NPI number for Margie Douglas is 1154623585. It was assigned to this individual provider in the NPPES registry on November 17, 2010.

Where is Margie Douglas located?

Margie Douglas practices at 619 E Mason St Suite 4p57, Springfield, IL 62701. The listed phone number is (217) 788-0706.

What is Margie Douglas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Margie Douglas enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Margie Douglas was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.