KAITLIN DOUGLAS
NPI 1295360501
Nurse Practitioner in Princeton, WV
About Kaitlin Douglas NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAITLIN DOUGLAS (NPI 1295360501) is an individual nurse practitioner in Princeton, West Virginia, licensed in West Virginia (105447) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Princeton Community Hospital, and maintains a secondary practice location in Princeton.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Kaitlin 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.
Medicare Billing Reassignment
Medicare enrollment records show Kaitlin Douglas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Princeton, WV 24740
- Reassigned Medicare billing, West Virginia enrollment
- 280 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 2
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.
Princeton Community Hospital
Acute Care Hospitals · Princeton, WVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 24740 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PRINCETON, WV 24740
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 Kaitlin Douglas's NPI number?
The NPI number for Kaitlin Douglas is 1295360501. It was assigned to this individual provider in the NPPES registry on March 6, 2020.
Where is Kaitlin Douglas located?
Kaitlin Douglas practices at 122 12th St, Princeton, WV 24740. The listed phone number is (304) 487-7000.
What is Kaitlin Douglas's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kaitlin Douglas enrolled in Medicare?
Yes. Kaitlin 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 organization bills Medicare for Kaitlin Douglas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlin Douglas reassigns Medicare benefits to Princeton Community Hospital Assn., Inc. (Princeton, WV). The 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 Kaitlin Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kaitlin Douglas accept?
Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Kaitlin 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 Kaitlin Douglas affiliated with any hospitals?
According to CMS data, Kaitlin Douglas is affiliated with Princeton Community Hospital.
When was this NPI record last updated?
The NPPES record for Kaitlin Douglas was last updated on March 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kaitlin Douglas · NPI 1295360501
Nurse Practitioner physician in Princeton, West Virginia. Individual provider, active in the CMS NPPES registry since March 6, 2020.
## Identity
- **NPI:** 1295360501 (Entity type: Individual)
- **Enumerated:** March 6, 2020
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 105447 (West Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 122 12TH ST, Princeton, WV 24740-2312
- **Phone:** (304) 487-7000
## 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:** Princeton Community Hospital Assn., Inc. (NPI 1558313213, Princeton, WV), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** March 6, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1295360501) · Data from the CMS NPPES public registry.