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KAITLIN DOUGLAS
NPI 1295360501
Nurse Practitioner in Princeton, WV

Active since March 06, 2020PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
122 12TH ST, PRINCETON, WV 24740(304) 487-7000 Get Directions Write a Review

NPPES record last updated: March 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1295360501
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKAITLIN DOUGLAS
Location Address122 12TH STPrinceton, WV 24740-2312
Mailing Address608 New Hope Rd Ste 1Princeton, WV 24740-2287 · (304) 425-1522
Phone(304) 487-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 6, 2020
NPPES CertifiedMarch 6, 2020
✔ NPI 1295360501 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 WV · 105447
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.
122 12TH ST, Princeton, WV 24740
Open in Google Maps ↗

Secondary Practice Location 1

Location 1608 New hope rd ste 1Princeton, WV 24740-2287 · Phone (304) 425-1522

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

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.

PECOS PAC ID3375964166
PECOS Enrollment IDI20200603001212
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 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.

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.
32 services31 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

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, WV
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number510046
Location122 12th StreetPrinceton, WV 24740 · Mercer County
Emergency services Birthing friendly

Physician 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.

New Patient
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

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.

VERONICA SUE BROOKS OTR/L
Occupational Therapist
122 12TH ST
PRINCETON, WV 24740
Mercer County (304) 431-5077
KALEIGH ANNMARIE MAXEY PA-C
Physician Assistant
122 12TH ST
PRINCETON, WV 24740
Mercer County (304) 487-7000
SANDRA M. WYNN NP
Nurse Practitioner
122 12TH ST
PRINCETON, WV 24740
Mercer County (304) 487-7000
SAMANTHA DAWN ROBERTS PRSS-SUD
Peer Specialist
122 12TH ST
PRINCETON, WV 24740
Mercer County (304) 320-2192
MATTHEW SNUFFER FNP-BC
Nurse Practitioner (Family)
122 12TH ST
PRINCETON, WV 24740
Mercer County (304) 487-7000
DR. YOGINDER K. YADAV M.D.
Hospitalist
122 12TH ST
PRINCETON, WV 24740
Mercer County (304) 487-7726
HOSPITALIST MEDICINE PHYSICIANS OF WEST VIRGINIA - SOUTH CHARLESTON
Anesthesiology
122 12TH ST
PRINCETON, WV 24740
Mercer County (304) 487-7000
ADRIANNA HALL
Physical Therapist
122 12TH ST
PRINCETON, WV 24740
Mercer County (304) 487-7255

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.

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.