KAREN L. DOUGLAS NP
NPI 1295988533
Nurse Practitioner - Psychiatric/Mental Health in Detroit, MI

Active since October 30, 2008PECOS EnrolledAccepts Medicare Assignment
94.15/100
CMS Quality Rating
24424 W MCNICHOLS RD, DETROIT, MI 48219(313) 531-2500 Get Directions Write a Review

NPPES record last updated: February 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Karen L. Douglas Np NPPES

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

KAREN L. DOUGLAS NP (NPI 1295988533) is an individual psychiatric/mental health provider in Detroit, Michigan, licensed in Michigan (4704160358) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (2019).

NPPES Registry Identity

NPI1295988533
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKAREN L. DOUGLASCredential: NP
Location Address24424 W MCNICHOLS RDDetroit, MI 48219-3653
Mailing Address510 E Ferry StDetroit, MI 48202-3816 · (313) 614-9195
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2019
Enumeration DateOctober 30, 2008
Last NPPES UpdateFebruary 3, 2020
NPI 1295988533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MI · 4704160358
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 4704160358 (MI)
24424 W MCNICHOLS RD, Detroit, MI 48219

Accepted 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

Karen L. Douglas Np 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 ID9335576768
PECOS Enrollment IDI20200225001865
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 3

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
237 services50 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
108 services31 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48219 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

94.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.48
Promoting Interoperability96
Improvement Activities40
Cost100

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.

Social Worker
24424 W MCNICHOLS RD
DETROIT, MI 48219
Social Worker
24424 W MCNICHOLS RD
DETROIT, MI 48219
Counselor (Mental Health)
24424 W MCNICHOLS RD
DETROIT, MI 48219
Technician, Other
24424 W MCNICHOLS RD
DETROIT, MI 48219
Registered Nurse (Psychiatric/Mental Health)
24424 W MCNICHOLS RD
DETROIT, MI 48219
Social Worker
24424 W MCNICHOLS RD
DETROIT, MI 48219
Technician, Other
24424 W MCNICHOLS RD
DETROIT, MI 48219
Counselor (Professional)
24424 W MCNICHOLS RD
DETROIT, MI 48219

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 Karen Douglas's NPI number?

The NPI number for Karen Douglas is 1295988533. It was assigned to this individual provider in the NPPES registry on October 30, 2008.

Where is Karen Douglas located?

Karen Douglas practices at 24424 W Mcnichols Rd, Detroit, MI 48219. The listed phone number is (313) 531-2500.

What is Karen Douglas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Karen Douglas enrolled in Medicare?

Yes. Karen 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 Karen Douglas accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 5 other insurers list Karen 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 Karen Douglas was last updated on February 3, 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.