1. Home
  2. Directory
  3. Mississippi
  4. Olive Branch
  5. Nurse Practitioner
  6. NPI Profile

STEPHANIE MACHELLE DOUGLASS PMHNP-BC
NPI 1386904803
Nurse Practitioner - Psychiatric/Mental Health in Olive Branch, MS

Active since May 17, 2012PECOS EnrolledAccepts Medicare Assignment
5600 GOODMAN RD, STE B, OLIVE BRANCH, MS 38654(662) 890-7010(662) 890-7044 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 23, 2025, Sep 28, 2020, Jan 3, 2020 and 3 more (6 updates tracked since 2016).

About Stephanie Machelle Douglass Pmhnp-bc NPPES

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

STEPHANIE MACHELLE DOUGLASS PMHNP-BC (NPI 1386904803) is an individual psychiatric/mental health provider in Olive Branch, Mississippi, licensed in Mississippi (R863198) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1386904803
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSTEPHANIE MACHELLE DOUGLASSCredential: PMHNP-BC
Location Address5600 GOODMAN RD, STE BOlive Branch, MS 38654-7002
Mailing Address5600 Goodman Rd Ste BOlive Branch, MS 38654-7002 · (662) 890-7010 · Fax (662) 890-2704
Phone(662) 890-7010
Fax(662) 890-7044
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMay 17, 2012
Last NPPES UpdateJune 23, 20256 updates tracked since enumeration
NPPES CertifiedJune 23, 2025
✔ NPI 1386904803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MS · R863198
5600 GOODMAN RD, Olive Branch, MS 38654
Open in Google Maps ↗

Other Identifiers 1

Medicaid08121826MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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

Stephanie Machelle Douglass Pmhnp-bc 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 ID4981960184
PECOS Enrollment IDI20171103000832
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 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.
165 services42 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
114 services35 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38654 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 3

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

DIANE MARIE DONOHUE M.D.
Dermatology
5600 GOODMAN RD, SUITE C
OLIVE BRANCH, MS 38654
Desoto County (662) 893-6729
MRS. HEATHER HILDEBRANT PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
5600 GOODMAN RD
OLIVE BRANCH, MS 38654
Desoto County (662) 890-7010
SPECIALTY CARE EXTENDED HOURS CLINIC LLC
General Practice
5600 GOODMAN RD, SUITE D
OLIVE BRANCH, MS 38654
Desoto County (901) 634-8641

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 Stephanie Douglass's NPI number?

The NPI number for Stephanie Douglass is 1386904803. It was assigned to this individual provider in the NPPES registry on May 17, 2012.

Where is Stephanie Douglass located?

Stephanie Douglass practices at 5600 Goodman Rd Ste B, Olive Branch, MS 38654. The listed phone number is (662) 890-7010.

What is Stephanie Douglass's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Stephanie Douglass enrolled in Medicare?

Yes. Stephanie 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.

What insurance does Stephanie Douglass accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Stephanie 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 Stephanie Douglass was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.