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KIERRA DOUGLASS
NPI 1356290910
Nurse Practitioner in Terre Haute, IN

Active since January 27, 2026PECOS EnrolledAccepts Medicare Assignment
2723 S 7TH ST STE A, TERRE HAUTE, IN 47802(812) 232-8164 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kierra Douglass NPPES

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

KIERRA DOUGLASS (NPI 1356290910) is an individual nurse practitioner in Terre Haute, Indiana, licensed in Indiana (71017623A) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1356290910
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKIERRA DOUGLASS
Location Address2723 S 7TH ST STE ATerre Haute, IN 47802-3558
Mailing Address1942 Cobblestone Way STerre Haute, IN 47802-5411 · (812) 232-8164
Phone(812) 232-8164
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 27, 2026
Last NPPES UpdateJune 26, 2026
NPPES CertifiedJune 26, 2026
✔ NPI 1356290910 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 IN · 71017623A
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.
2723 S 7TH ST STE A, Terre Haute, IN 47802
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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

Kierra Douglass 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 ID6002388709
PECOS Enrollment IDI20260613000288
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 Reassignment

Medicare enrollment records show Kierra Douglass reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Providence Medical Group LLC
Same address
Multi-Specialty
2723 S 7TH ST, SUITE A
Terre Haute, IN 47802
  • Reassigned Medicare billing, Indiana enrollment
  • 30 clinicians in this Medicare group
NPI 1891729141 (812) 232-8164

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47802 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 14

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

ASHLEY STAKEMAN PA-C
Physician Assistant
2723 S 7TH ST STE A
TERRE HAUTE, IN 47802
Vigo County (812) 232-8164
JONI K STEELE FNP
Nurse Practitioner (Family)
2723 S 7TH ST STE A
TERRE HAUTE, IN 47802
Vigo County (812) 232-8164
JOHN ANDREW SCHMIDT PA-C
Physician Assistant (Medical)
2723 S 7TH ST STE A
TERRE HAUTE, IN 47802
Vigo County (812) 232-8164
MATTHEW H FRENCH M.D.
Internal Medicine (Interventional Cardiology)
2723 S 7TH ST STE A
TERRE HAUTE, IN 47802
Vigo County (812) 232-8164
DAKOTAH MICHELLE HORRALL PA-C
Physician Assistant
2723 S 7TH ST STE A
TERRE HAUTE, IN 47802
Vigo County (812) 232-8164
PROVIDENCE CARDIOVASCULAR LAB, LLC
Clinic/Center (Ambulatory Surgical)
2723 S 7TH ST STE A
TERRE HAUTE, IN 47802
Vigo County (812) 232-8164
MATTHEW S LEE PA-C
Physician Assistant (Medical)
2723 S 7TH ST STE A
TERRE HAUTE, IN 47802
Vigo County (812) 232-8164
MAKENZIE ELAINE UTTERBACK PA-C
Physician Assistant (Medical)
2723 S 7TH ST STE A
TERRE HAUTE, IN 47802
Vigo County (812) 232-8164

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 Kierra Douglass's NPI number?

The NPI number for Kierra Douglass is 1356290910. It was assigned to this individual provider in the NPPES registry on January 27, 2026.

Where is Kierra Douglass located?

Kierra Douglass practices at 2723 S 7th St Ste A, Terre Haute, IN 47802. The listed phone number is (812) 232-8164.

What is Kierra Douglass's specialty?

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

Is Kierra Douglass enrolled in Medicare?

Yes. Kierra Douglass 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.

Which organization bills Medicare for Kierra Douglass's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kierra Douglass reassigns Medicare benefits to Providence Medical Group LLC (Terre Haute, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kierra Douglass's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kierra Douglass accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Kierra Douglass 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 Kierra Douglass was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.