KRISTI DOUGAN NP-C
NPI 1275993149
Nurse Practitioner - Adult Health in Matthews, NC

Q: What is Kristi Dougan's NPI number?

The NPI number for Kristi Dougan is 1275993149. It was assigned to this individual provider in the NPPES registry on March 4, 2016.

Q: What is Kristi Dougan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kristi Dougan was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 04, 2016PECOS EnrolledAccepts Medicare Assignment

9723 NORTHEAST PKWY STE 100, MATTHEWS, NC 28105(980) 262-3007(980) 262-3528 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 22, 2023, Feb 7, 2019, Mar 4, 2016 (3 updates tracked since 2016).

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About Kristi Dougan Np-c NPPES

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

KRISTI DOUGAN NP-C (NPI 1275993149) is an individual adult health provider in Matthews, North Carolina, licensed in North Carolina (5008420) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Brody School Of Medicine At East Carolina University (2015).

NPPES Registry Identity

NPI1275993149

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameKRISTI DOUGANCredential: NP-C

Location Address9723 NORTHEAST PKWY STE 100Matthews, NC 28105-9719

Mailing Address9723 Northeast Pkwy Ste 100Matthews, NC 28105-9719 · (980) 262-3007 · Fax (980) 262-3528

Phone(980) 262-3007

Fax(980) 262-3528

Sole ProprietorNo

Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 2015

Enumeration DateMarch 4, 2016

Last NPPES UpdateJune 22, 20233 updates tracked since enumeration

NPPES CertifiedJune 22, 2023

✔ NPI 1275993149 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 NC · 5008420

9723 NORTHEAST PKWY STE 100, Matthews, NC 28105

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Secondary Practice Locations 2

Location 1434 N Trade St Ste 104Matthews, NC 28105 · Phone (704) 246-3936

Location 216147 Lancaster Hwy, Suite 140Charlotte, NC 28277-2050 · Phone (704) 208-4134 · Fax (704) 248-7845

Other Identifiers 1

Medicaid1275993149NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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 and accepts Medicare assignment

Kristi Dougan Np-c 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 ID5193023794

PECOS Enrollment IDI20180423000537

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 6

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.

505 services99 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

497 services105 patients

Administration and interpretation of patient-focused health risk assessment 96160

This procedure involves a detailed evaluation of your health to identify potential risks. It includes analyzing your medical history, lifestyle habits, and family health history. The results are interpreted to provide a personalized plan to improve your health and prevent future issues.

497 services105 patients

Testing for presence of drug, by chemistry analyzers 80307

Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.

406 services94 patients

Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0482

A definitive drug test identifies specific drugs in your system. Advanced methods like GC/MS (Gas Chromatography/Mass Spectrometry) and LC/MS (Liquid Chromatography/Mass Spectrometry) are used. These can distinguish between similar drugs, providing precise results.

391 services92 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28105 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 7

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

AMBER NICOLE CHEWNING PT

Physical Therapist