CHARITY DOUGLAS
NPI 1265904890
Nurse Practitioner in Corbin, KY

Active since December 20, 2018PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
45 MOONBOW PLZ, CORBIN, KY 40701(606) 523-9010(606) 528-0028 Get Directions Write a Review

NPPES record last updated: January 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 23, 2019, Dec 20, 2018 (2 updates tracked since 2018).

About Charity Douglas NPPES

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

CHARITY DOUGLAS (NPI 1265904890) is an individual nurse practitioner in Corbin, Kentucky, licensed in Kentucky (3013049) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Corbin, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1265904890
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCHARITY DOUGLAS
Location Address45 MOONBOW PLZCorbin, KY 40701-8949
Mailing AddressPo Box 1325Corbin, KY 40702-1325 · (606) 523-9010 · Fax (606) 523-0028
Fax(606) 528-0028
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 20, 2018
Last NPPES UpdateJanuary 23, 20192 updates tracked since enumeration
NPI 1265904890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in KY · 3013049
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
45 MOONBOW PLZ, Corbin, KY 40701

Other Names 1

Former Name (1)Charity Moses Aprn

Accepted Insurance

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

Charity Douglas 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.

PECOS PAC ID3971842634
PECOS Enrollment IDI20190225002690
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
307 services187 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
84 services73 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services29 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180080
LocationOne Trillium WayCorbin, KY 40701 · Whitley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40701 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Internal Medicine (Cardiovascular Disease)
45 MOONBOW PLZ
CORBIN, KY 40701
Internal Medicine (Cardiovascular Disease)
45 MOONBOW PLZ
CORBIN, KY 40701
Specialist
45 MOONBOW PLZ
CORBIN, KY 40701
Physician Assistant
45 MOONBOW PLZ
CORBIN, KY 40701
Internal Medicine (Cardiovascular Disease)
45 MOONBOW PLZ
CORBIN, KY 40701
Internal Medicine (Cardiovascular Disease)
45 MOONBOW PLZ
CORBIN, KY 40701

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 Charity Douglas's NPI number?

The NPI number for Charity Douglas is 1265904890. It was assigned to this individual provider in the NPPES registry on December 20, 2018. The provider is also known as Charity Moses Aprn.

Where is Charity Douglas located?

Charity Douglas practices at 45 Moonbow Plz, Corbin, KY 40701. The listed phone number is (606) 523-9010.

What is Charity Douglas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Charity Douglas enrolled in Medicare?

Yes. Charity 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.

What insurance does Charity Douglas accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Charity 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 Charity Douglas affiliated with any hospitals?

According to CMS data, Charity Douglas is affiliated with Baptist Health Corbin.

When was this NPI record last updated?

The NPPES record for Charity Douglas was last updated on January 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.