MARY KATHRYN DOUGLAS CNM
NPI 1275563314
Advanced Practice Midwife in Stuart, FL

Q: What is Mary Douglas's NPI number?

The NPI number for Mary Douglas is 1275563314. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Q: What is Mary Douglas's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Douglas was last updated on March 18, 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.

Active since July 04, 2006PECOS Enrolled

3441 SE WILLOGHBY BLVD, STUART, FL 34994(772) 219-1080(561) 472-9690 Get Directions Write a Review

NPPES record last updated: March 18, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 18, 2019, Nov 29, 2018, Dec 20, 2016 (3 updates tracked since 2016).

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About Mary Kathryn Douglas Cnm NPPES

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

MARY KATHRYN DOUGLAS CNM (NPI 1275563314) is an individual advanced practice midwife in Stuart, Florida, licensed in Florida (APRN3403272) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275563314

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameMARY KATHRYN DOUGLASCredential: CNM

Location Address3441 SE WILLOGHBY BLVDStuart, FL 34994-5060

Mailing Address5827 Corporate WayWest Palm Beach, FL 33407-2000 · (561) 844-9443 · Fax (561) 472-9692

Phone(772) 219-1080

Fax(561) 472-9690

Sole ProprietorNo

Enumeration DateJuly 4, 2006

Last NPPES UpdateMarch 18, 20193 updates tracked since enumeration

✔ NPI 1275563314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in FL · APRN3403272

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

3441 SE WILLOGHBY BLVD, Stuart, FL 34994

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Other Identifiers 1

Medicaid301318900FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Kathryn Douglas Cnm 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 34994 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

Most-billed visit code 99213

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.

Reported Quality Measures

Cervical Cancer Screening

97%205 patients4/55-star benchmark: 98%

Chlamydia Screening for Women

85%78 patients

Closing the Referral Loop: Receipt of Specialist Report

58%48 patients3/55-star benchmark: 87%

Documentation of Current Medications in the Medical Record

100%238 patients5/55-star benchmark: 100%

HIV Screening

94%232 patients5/55-star benchmark: 60%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

65%234 patients5/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 99% · 89 patients

99%89 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

ALIDA C. ZAYAS D.M.D.

Dentist (General Practice)

3441 SE WILLOGHBY BLVD
STUART, FL 34994

Martin County (772) 403-5650

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 Mary Douglas's NPI number?

The NPI number for Mary Douglas is 1275563314. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Mary Douglas located?

Mary Douglas practices at 3441 SE Willoghby Blvd, Stuart, FL 34994. The listed phone number is (772) 219-1080.

What is Mary Douglas's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Mary Douglas enrolled in Medicare?

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

What insurance does Mary Douglas accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and UnitedHealthcare list Mary 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.

When was this NPI record last updated?

The NPPES record for Mary Douglas was last updated on March 18, 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.