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MRS. SHEKELA DOUGLAS PMHNP
NPI 1306511225
Nurse Practitioner - Psychiatric/Mental Health in Madison, MS

Active since August 12, 2021PECOS EnrolledAccepts Medicare Assignment
105 EXECUTIVE DR STE A, MADISON, MS 39110(601) 540-5900(228) 263-3904 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 10, 2024, Aug 12, 2021 (2 updates tracked since 2021).

About Mrs. Shekela Douglas Pmhnp NPPES

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

MRS. SHEKELA DOUGLAS PMHNP (NPI 1306511225) is an individual psychiatric/mental health provider in Madison, Mississippi, licensed in Mississippi (904237) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1306511225
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. SHEKELA DOUGLASCredential: PMHNP
Location Address105 EXECUTIVE DR STE AMadison, MS 39110-8496
Mailing Address272 Calhoun Station Pkwy Ste CMadison, MS 39110-5541 · (601) 540-5900
Phone(601) 540-5900
Fax(228) 263-3904
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 12, 2021
Last NPPES UpdateApril 10, 20242 updates tracked since enumeration
NPPES CertifiedApril 10, 2024
✔ NPI 1306511225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MS · 904237
105 EXECUTIVE DR STE A, Madison, MS 39110
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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

Mrs. Shekela Douglas Pmhnp 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 ID1254721145
PECOS Enrollment IDI20211208002409
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 39110 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 2

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

PEACE OF MIND HEALTH AND WELLNESS
Nurse Practitioner (Psychiatric/Mental Health)
105 EXECUTIVE DR STE A
MADISON, MS 39110
Madison County (601) 540-5900
DR. CHANCEY FORT LPC, RPT, NCC, NCSC
Counselor (Mental Health)
105 EXECUTIVE DR STE A
MADISON, MS 39110
Madison County (601) 340-9498

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 Shekela Douglas's NPI number?

The NPI number for Shekela Douglas is 1306511225. It was assigned to this individual provider in the NPPES registry on August 12, 2021.

Where is Shekela Douglas located?

Shekela Douglas practices at 105 Executive Dr Ste A, Madison, MS 39110. The listed phone number is (601) 540-5900.

What is Shekela Douglas's specialty?

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

Is Shekela Douglas enrolled in Medicare?

Yes. Shekela 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.

When was this NPI record last updated?

The NPPES record for Shekela Douglas was last updated on April 10, 2024. 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.