MRS. JOAN H. DOUGLAS APRN
NPI 1346793528
Nurse Practitioner in Bowling Green, KY

Q: What is Joan Douglas's NPI number?

The NPI number for Joan Douglas is 1346793528. It was assigned to this individual provider in the NPPES registry on July 25, 2016. The provider is also known as Joan West Haley.

Q: What is Joan Douglas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Joan Douglas was last updated on February 13, 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.

Active since July 25, 2016PECOS EnrolledAccepts Medicare Assignment

87.53/100

CMS Quality Rating

165 NATCHEZ TRACE AVE STE 205, BOWLING GREEN, KY 42103(270) 745-7246(270) 282-2027 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 15, 2021, Aug 23, 2021, Sep 14, 2017 and 1 more (4 updates tracked since 2016).

On this page

About Mrs. Joan H. Douglas Aprn NPPES

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

MRS. JOAN H. DOUGLAS APRN (NPI 1346793528) is an individual nurse practitioner in Bowling Green, Kentucky, licensed in Kentucky (3010873) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with The Medical Center (bowling Green), and is a graduate of Other (2016).

NPPES Registry Identity

NPI1346793528

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. JOAN H. DOUGLASCredential: APRN

Location Address165 NATCHEZ TRACE AVE STE 205Bowling Green, KY 42103-7947

Mailing AddressPo Box 21890Belfast, ME 04915-4115 · (502) 907-0356 · Fax (502) 919-9780

Phone(270) 745-7246

Fax(270) 282-2027

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 25, 2016

Last NPPES UpdateFebruary 13, 20244 updates tracked since enumeration

NPPES CertifiedFebruary 13, 2024

✔ NPI 1346793528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in KY · 3010873

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.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 3010873 (KY)

165 NATCHEZ TRACE AVE STE 205, Bowling Green, KY 42103

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Other Names 1

Former Name (1)Joan West Haley

Other Identifiers 1

Medicaid7100432960KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Mrs. Joan H. Douglas Aprn 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 ID8628358033

PECOS Enrollment IDI20161130002178

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.

Medicare Billing Reassignments

Medicare enrollment records show Joan Douglas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Interventional Pain Specialists Of Bowling Green Plc

Same address

Pain Medicine

165 NATCHEZ TRACE AVE, SUITE 205
Bowling Green, KY 42103

Reassigned Medicare billing, Kentucky enrollment
21 clinicians in this Medicare group

NPI 1033356274 (270) 393-1912

Commonwealth Pain Associates, PLLC

98 mi

Interventional Pain Medicine

120 EXECUTIVE PARK
Louisville, KY 40207

Reassigned Medicare billing, Kentucky enrollment
193 clinicians in this Medicare group

NPI 1306280177 (502) 855-7200

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 6

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.

Testing for presence of drug, by chemistry analyzers 80307

Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.

386 services187 patients

Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0481

A definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.

314 services153 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.

261 services177 patients

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.

197 services140 patients

A definitive drug test is a detailed examination that can identify specific drugs in your system, even closely related ones. Techniques like GC/MS and LC/MS are used for high precision. This helps ensure accurate results for your safety and health.

62 services38 patients

Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484

Care management for behavioral health involves a healthcare professional directing clinical staff to provide you with support for 20 minutes or more. This service can include planning your care, coordinating services, and managing your health conditions to improve your overall well-being.

34 services15 patients

Hospital Affiliations CMS Care Compare 2

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

The Medical Center (bowling Green)

Acute Care Hospitals · Bowling Green, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180013

Location250 Park StreetBowling Green, KY 42101 · Warren County

Emergency services Birthing friendly

The Medical Center At Scottsville

Critical Access Hospitals · Scottsville, KY

OwnershipVoluntary non-profit - Private

CMS Certification Number181324

Location456 Burnley RoadScottsville, KY 42164 · Allen County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42103 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

87.53/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

80.58

Promoting Interoperability

100

Improvement Activities

Cost

68.08

Other Providers at the Same Location NPPES 9

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

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Nurse Practitioner