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MS. MELANIE DOUGLAS PA-C
NPI 1376896142
Physician Assistant - Surgical in Staten Island, NY

Active since October 18, 2012PECOS Enrolled
79.03/100
CMS Quality Rating
355 BARD AVE, STATEN ISLAND, NY 10310(718) 818-1234(718) 818-1252 Get Directions Write a Review

NPPES record last updated: October 18, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Melanie Douglas Pa-c NPPES

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

MS. MELANIE DOUGLAS PA-C (NPI 1376896142) is an individual surgical provider in Staten Island, New York, licensed in New York (015826-1) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376896142
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. MELANIE DOUGLASCredential: PA-C
Location Address355 BARD AVEStaten Island, NY 10310-1664
Mailing Address355 Bard AveStaten Island, NY 10310-1664 · (718) 818-1234 · Fax (718) 818-1252
Phone(718) 818-1234
Fax(718) 818-1252
Sole ProprietorNo
Enumeration DateOctober 18, 2012
✔ NPI 1376896142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NY · 015826-1
355 BARD AVE, Staten Island, NY 10310
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Melanie Douglas Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
40 services24 patients

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.

79.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.44
Improvement Activities40

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.

MRS. DONNA MARIE LUTZ MSCCC-A
Audiologist-Hearing Aid Fitter
355 BARD AVE
STATEN ISLAND, NY 10310
Richmond County (718) 818-2250
ALL ISLAND PHYSICIAN PRACTICE PC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
355 BARD AVE
STATEN ISLAND, NY 10310
Richmond County (718) 818-3327
SAINT VINCENT CATHOLIC MEDICAL CENTER
Psychiatric Unit
355 BARD AVE
STATEN ISLAND, NY 10310
Richmond County (718) 818-1234
LISA MAHER PA
Physician Assistant
355 BARD AVE, RICHMOND UNIVERSITY MEDICAL CENTER
STATEN ISLAND, NY 10310
Richmond County (718) 818-1117
MRS. ANNA MENZA FNP
Nurse Practitioner (Family)
355 BARD AVE
STATEN ISLAND, NY 10310
Richmond County (718) 818-1234
CAROLINE MEURER DA CUNHA
Student in an Organized Health Care Education/Training Program
355 BARD AVE
STATEN ISLAND, NY 10310
Richmond County (718) 818-1234
ALLEN CHO
Student in an Organized Health Care Education/Training Program
355 BARD AVE
STATEN ISLAND, NY 10310
Richmond County (718) 818-2419
EDWARD ADRIAN M.D.
Emergency Medicine
355 BARD AVE, EMERGENCY DEPT
STATEN ISLAND, NY 10310
Richmond County (718) 818-2055

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 Melanie Douglas's NPI number?

The NPI number for Melanie Douglas is 1376896142. It was assigned to this individual provider in the NPPES registry on October 18, 2012.

Where is Melanie Douglas located?

Melanie Douglas practices at 355 Bard Ave, Staten Island, NY 10310. The listed phone number is (718) 818-1234.

What is Melanie Douglas's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Melanie Douglas enrolled in Medicare?

Yes. Melanie Douglas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Melanie Douglas was last updated on October 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.