ELAINE DOUGLAS
NPI 1326759580
Nurse Practitioner - Family in Ishpeming, MI

Active since December 08, 2022PECOS EnrolledAccepts Medicare Assignment
901 LAKESHORE DR, ISHPEMING, MI 49849(906) 486-4431 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 26, 2023, Apr 12, 2023, Dec 8, 2022 (3 updates tracked since 2022).

About Elaine Douglas NPPES

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

ELAINE DOUGLAS (NPI 1326759580) is an individual family provider in Ishpeming, Michigan, licensed in Michigan (4704349196) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS, is affiliated with Bell Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1326759580
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELAINE DOUGLAS
Location Address901 LAKESHORE DRIshpeming, MI 49849-1367
Mailing Address901 Lakeshore DrIshpeming, MI 49849-1367
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 8, 2022
Last NPPES UpdateOctober 26, 20233 updates tracked since enumeration
NPPES CertifiedOctober 26, 2023
NPI 1326759580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MI · 4704349196
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704349196 (MI)
901 LAKESHORE DR, Ishpeming, MI 49849

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Elaine 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 ID9638534803
PECOS Enrollment IDI20230424002151
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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
58 services35 patients
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.
38 services14 patients
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.
19 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bell Hospital

Critical Access Hospitals · Ishpeming, MI
OwnershipProprietary
CMS Certification Number231321
Location901 Lakeshore DriveIshpeming, MI 49849 · Marquette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49849 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 20

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

Pharmacist
901 LAKESHORE DR
ISHPEMING, MI 49849
Anesthesiology
901 LAKESHORE DR
ISHPEMING, MI 49849
Radiology (Diagnostic Radiology)
901 LAKESHORE DR
ISHPEMING, MI 49849
Pathology (Clinical Pathology/Laboratory Medicine)
901 LAKESHORE DR
ISHPEMING, MI 49849
Physical Therapist
901 LAKESHORE DR
ISHPEMING, MI 49849
Ambulance (Land Transport)
901 LAKESHORE DR
ISHPEMING, MI 49849
Occupational Therapist
901 LAKESHORE DR
ISHPEMING, MI 49849
Nurse Practitioner (Family)
901 LAKESHORE DR
ISHPEMING, MI 49849

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 Elaine Douglas's NPI number?

The NPI number for Elaine Douglas is 1326759580. It was assigned to this individual provider in the NPPES registry on December 8, 2022.

Where is Elaine Douglas located?

Elaine Douglas practices at 901 Lakeshore Dr, Ishpeming, MI 49849. The listed phone number is (906) 486-4431.

What is Elaine Douglas's specialty?

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

Is Elaine Douglas enrolled in Medicare?

Yes. Elaine 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 Elaine Douglas accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Elaine 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 Elaine Douglas affiliated with any hospitals?

According to CMS data, Elaine Douglas is affiliated with Bell Hospital.

When was this NPI record last updated?

The NPPES record for Elaine Douglas was last updated on October 26, 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.