TISA D COLLINS-DOUGLAS FNP-C
NPI 1295222024
Nurse Practitioner - Family in Dallas, TX

Q: What is Tisa Collins-douglas's NPI number?

The NPI number for Tisa Collins-douglas is 1295222024. It was assigned to this individual provider in the NPPES registry on April 17, 2018.

Q: What is Tisa Collins-douglas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since April 17, 2018PECOS Enrolled

2949 MLK BLVD, DALLAS, TX 75215(972) 432-7783 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 3, 2023, Apr 7, 2023, Apr 17, 2018 (3 updates tracked since 2018).

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About Tisa D Collins-douglas Fnp-c NPPES

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

TISA D COLLINS-DOUGLAS FNP-C (NPI 1295222024) is an individual family provider in Dallas, Texas, licensed in Texas (AP136280) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295222024

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTISA D COLLINS-DOUGLASCredential: FNP-C

Location Address2949 MLK BLVDDallas, TX 75215-6311

Mailing Address617 Inglewood CtDesoto, TX 75115-6321 · (682) 999-1315

Phone(972) 432-7783

Sole ProprietorNo

Enumeration DateApril 17, 2018

Last NPPES UpdateNovember 3, 20233 updates tracked since enumeration

NPPES CertifiedNovember 3, 2023

✔ NPI 1295222024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · AP136280

Also ListedNurse PractitionerTaxonomy 363L00000X · License 12402 (CT), 858976 (NV), TPAN1890 (FL), 3-001395 (AL)

2949 MLK BLVD, Dallas, TX 75215

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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)

Tisa D Collins-douglas Fnp-c 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 75215 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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.

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 Tisa Collins-douglas's NPI number?

The NPI number for Tisa Collins-douglas is 1295222024. It was assigned to this individual provider in the NPPES registry on April 17, 2018.

Where is Tisa Collins-douglas located?

Tisa Collins-douglas practices at 2949 Mlk Blvd, Dallas, TX 75215. The listed phone number is (972) 432-7783.

What is Tisa Collins-douglas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tisa Collins-douglas enrolled in Medicare?

Yes. Tisa Collins-douglas is registered in the Medicare PECOS enrollment system.

What insurance does Tisa Collins-douglas accept?

Health plans from Blue Cross and Blue Shield of Texas list Tisa Collins-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 Tisa Collins-douglas was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.