MRS. NICOLE MARIE DOUGLAS APN
NPI 1215527874
Nurse Practitioner - Adult Health in Chester, NJ
About Mrs. Nicole Marie Douglas Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. NICOLE MARIE DOUGLAS APN (NPI 1215527874) is an individual adult health provider in Chester, New Jersey, licensed in New Jersey (26NJ01103800) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Nicole Marie Douglas Apn 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.
Medicare Billing Reassignments
3Medicare enrollment records show Nicole Douglas reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chester, NJ 07930
- Reassigned Medicare billing, New Jersey enrollment
- 5 clinicians in this Medicare group
Cedar Knolls, NJ 07927
- Reassigned Medicare billing, New Jersey enrollment
- 33 clinicians in this Medicare group
Manasquan, NJ 08736
- Reassigned Medicare billing, New Jersey enrollment
- 150 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Morristown Medical Center
Acute Care Hospitals · Morristown, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07930 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Nicole Douglas's NPI number?
The NPI number for Nicole Douglas is 1215527874. It was assigned to this individual provider in the NPPES registry on January 19, 2021.
Where is Nicole Douglas located?
Nicole Douglas practices at 415 Route 24 Ste E, Chester, NJ 07930. The listed phone number is (908) 879-1500.
What is Nicole Douglas's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Nicole Douglas enrolled in Medicare?
Yes. Nicole 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.
Which organizations bill Medicare for Nicole Douglas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Douglas reassigns Medicare benefits to 3 organizations: Lawrence C. Antonucci MD LLC (Chester, NJ), Advanced Cardiology, LLC (Cedar Knolls, NJ) and Consensus Medical Group LLC (Manasquan, NJ). 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 Nicole Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Douglas accept?
Health plans from Oscar Health list Nicole Douglas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Nicole Douglas affiliated with any hospitals?
According to CMS data, Nicole Douglas is affiliated with Morristown Medical Center.
When was this NPI record last updated?
The NPPES record for Nicole Douglas was last updated on January 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mrs. Nicole Marie Douglas, APN · NPI 1215527874
Adult Health physician in Chester, New Jersey. Individual provider, active in the CMS NPPES registry since January 19, 2021.
## Identity
- **NPI:** 1215527874 (Entity type: Individual)
- **Enumerated:** January 19, 2021
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 26NJ01103800 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 415 ROUTE 24 STE E, Chester, NJ 07930-2920
- **Phone:** (908) 879-1500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Lawrence C. Antonucci MD LLC (NPI 1023092368, Chester, NJ); Advanced Cardiology, LLC (NPI 1295871796, Cedar Knolls, NJ); Consensus Medical Group LLC (NPI 1811466881, Manasquan, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** January 19, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1215527874) · Data from the CMS NPPES public registry.