ELISE R DOUGLASS PMHNP-BC, APRN
NPI 1376308957
Nurse Practitioner - Psychiatric/Mental Health in Hampton, VA
About Elise R Douglass Pmhnp-bc, Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELISE R DOUGLASS PMHNP-BC, APRN (NPI 1376308957) is an individual psychiatric/mental health provider in Hampton, Virginia, licensed in Virginia (0024189032) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chesapeake, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Elise R Douglass Pmhnp-bc, 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.
Medicare Billing Reassignments
2Medicare enrollment records show Elise Douglass reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hampton, VA 23666
- Reassigned Medicare billing, Virginia enrollment
- 70 clinicians in this Medicare group
Lynchburg, VA 24501
- Reassigned Medicare billing, Virginia enrollment
- 61 clinicians in this Medicare group
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 23666 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HAMPTON, VA 23666
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 Elise Douglass's NPI number?
The NPI number for Elise Douglass is 1376308957. It was assigned to this individual provider in the NPPES registry on February 14, 2024.
Where is Elise Douglass located?
Elise Douglass practices at 400 Medical Dr, Hampton, VA 23666. The listed phone number is (757) 788-0400.
What is Elise Douglass's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Elise Douglass enrolled in Medicare?
Yes. Elise 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 organizations bill Medicare for Elise Douglass's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elise Douglass reassigns Medicare benefits to 2 organizations: Hampton Newport News Community Services Board (Hampton, VA) and Brightview LLC (Lynchburg, VA). Each 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 Elise Douglass's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Elise Douglass accept?
Health plans from Oscar Health list Elise 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 Elise Douglass was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Elise R Douglass, PMHNP-BC, APRN · NPI 1376308957
Psychiatric/Mental Health physician in Hampton, Virginia. Individual provider, active in the CMS NPPES registry since February 14, 2024.
## Identity
- **NPI:** 1376308957 (Entity type: Individual)
- **Enumerated:** February 14, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 0024189032 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 400 MEDICAL DR, Hampton, VA 23666-1767
- **Phone:** (757) 788-0400 · **Fax:** (757) 788-0957
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Hampton Newport News Community Services Board (NPI 1659424448, Hampton, VA); Brightview LLC (NPI 1649786260, Lynchburg, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** March 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1376308957) · Data from the CMS NPPES public registry.