MARGIE DOUGLAS
NPI 1154623585
Nurse Practitioner - Adult Health in Springfield, IL
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
Specialties & Licenses
Other Identifiers 4
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).
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.
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.
SPRINGFIELD, IL 62701
SPRINGFIELD, IL 62701
SPRINGFIELD, IL 62701
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 March 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.
# Margie Douglas · NPI 1154623585
Adult Health physician in Springfield, Illinois. Individual provider, active in the CMS NPPES registry since November 17, 2010.
## Identity
- **NPI:** 1154623585 (Entity type: Individual)
- **Enumerated:** November 17, 2010
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 209008390 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 619 E MASON ST, SUITE 4P57, Springfield, IL 62701-1034
- **Phone:** (217) 788-0706
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** March 12, 2013
- **Other identifiers:** Other P00907053 (IL); Medicare PIN 207413013 (IL); Medicaid $$$$$$$$$001 (IL); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1154623585) · Data from the CMS NPPES public registry.