TERRI LYNN DOUGLAS MSN, RN, FNP-BC
NPI 1396018818
Nurse Practitioner in La Crosse, WI

Active since February 14, 2012PECOS EnrolledAccepts Medicare Assignment
800 WEST AVE S, LA CROSSE, WI 54601(715) 838-3635 Get Directions Write a Review

NPPES record last updated: October 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Terri Lynn Douglas Msn, Rn, Fnp-bc NPPES

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

TERRI LYNN DOUGLAS MSN, RN, FNP-BC (NPI 1396018818) is an individual nurse practitioner in La Crosse, Wisconsin, licensed in Wisconsin (170833) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Winona, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1396018818
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTERRI LYNN DOUGLASCredential: MSN, RN, FNP-BC
Location Address800 WEST AVE SLa Crosse, WI 54601
Mailing Address800 West Ave SLa Crosse, WI 54601-8806 · (715) 838-3635
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 14, 2012
Last NPPES UpdateOctober 17, 2018
✔ NPI 1396018818 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 WI · 170833
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 R 183302-7 (MN)
800 WEST AVE S, La Crosse, WI 54601

Secondary Practice Location 1

Location 1420 E Sarnia StWinona, MN 55987-6365 · Phone (507) 454-3650

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

Terri Lynn Douglas Msn, Rn, Fnp-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 ID7416110952
PECOS Enrollment IDI20180509002140
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

3

Medicare enrollment records show Terri Douglas reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rehabilitation, Substance Use Disorder
7105 NE 40TH ST
Vancouver, WA 98661
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Bristol Bay Area Health Corporation
  • 360 clinicians in this Medicare group
Clinic/Center
172 MAIN STREET
Sand Point, AK 99661
  • Reassigned Medicare billing, Alaska enrollment
  • 10 clinicians in this Medicare group
Critical Access
1000 GREG KRUSCHEK AVE
Nome, AK 99762
  • Reassigned Medicare billing, Alaska enrollment
  • 193 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 54601 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 20

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

Psychologist (Clinical)
800 WEST AVE S
LA CROSSE, WI 54601
Optometrist
800 WEST AVE S
LA CROSSE, WI 54601
Urology
800 WEST AVE S
LA CROSSE, WI 54601
Nurse Practitioner
800 WEST AVE S
LA CROSSE, WI 54601
Family Medicine
800 WEST AVE S
LA CROSSE, WI 54601
Student in an Organized Health Care Education/Training Program
800 WEST AVE S
LA CROSSE, WI 54601
Physical Therapist
800 WEST AVE S
LA CROSSE, WI 54601
Otolaryngology
800 WEST AVE S
LA CROSSE, WI 54601

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 Terri Douglas's NPI number?

The NPI number for Terri Douglas is 1396018818. It was assigned to this individual provider in the NPPES registry on February 14, 2012.

Where is Terri Douglas located?

Terri Douglas practices at 800 West Ave S, La Crosse, WI 54601. The listed phone number is (715) 838-3635.

What is Terri Douglas's specialty?

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

Is Terri Douglas enrolled in Medicare?

Yes. Terri Douglas 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 Terri Douglas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Terri Douglas reassigns Medicare benefits to 3 organizations: Cowlitz Indian Tribe (Vancouver, WA), Eastern Aleutian Tribes, Inc (Sand Point, AK) and Norton Sound Health Corporation (Nome, AK). 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 Terri Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Terri Douglas was last updated on October 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.