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MATTHEW AARON DOUGLASS PMHNP
NPI 1396509311
Nurse Practitioner - Psychiatric/Mental Health in Idaho Falls, ID

Active since February 09, 2024PECOS EnrolledAccepts Medicare Assignment
1248 E 17TH ST, IDAHO FALLS, ID 83404(208) 542-1026(208) 528-2945 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Apr 15, 2026, May 15, 2025, Mar 7, 2024 and 1 more (4 updates tracked since 2024).

About Matthew Aaron Douglass Pmhnp NPPES

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

MATTHEW AARON DOUGLASS PMHNP (NPI 1396509311) is an individual psychiatric/mental health provider in Idaho Falls, Idaho, licensed in Idaho (CNP-78862) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1396509311
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMATTHEW AARON DOUGLASSCredential: PMHNP
Location Address1248 E 17TH STIdaho Falls, ID 83404-6126
Mailing Address1248 E 17th StIdaho Falls, ID 83404-6126 · (208) 542-1026 · Fax (208) 528-2945
Phone(208) 542-1026
Fax(208) 528-2945
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 9, 2024
Last NPPES UpdateJune 10, 20264 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
✔ NPI 1396509311 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
Licenses✔ Licensed in ID · CNP-78862✔ Licensed in WY · 59035
1248 E 17TH ST, Idaho Falls, ID 83404
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan, Select 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

Matthew Aaron Douglass Pmhnp 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 ID1254771744
PECOS Enrollment IDI20240501001604, I20260609001973
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83404 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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 15

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

SHEYENNE DAWN HERNANDEZ
Social Worker (Clinical)
1248 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 542-1026
JACQUELINE JEAN BOWCUTT
Social Worker (Clinical)
1248 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 542-1026
EMILY PETERSEN
Counselor (Mental Health)
1248 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 542-1026
HIGH COUNTRY BEHAVIORAL HEALTH
Clinic/Center (Mental Health (Including Community Mental Health Center))
1248 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 542-1026
JANUS RX LLC
Pharmacy (Long Term Care Pharmacy)
1248 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (334) 819-4500
BRYCE C JOHNSON
Social Worker
1248 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 542-1026
SUSIE L MANNING
Case Manager/Care Coordinator
1248 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (307) 885-9883
DR. MARK A POPWELL PHARMD
Pharmacist
1248 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 497-0156

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 Matthew Douglass's NPI number?

The NPI number for Matthew Douglass is 1396509311. It was assigned to this individual provider in the NPPES registry on February 9, 2024.

Where is Matthew Douglass located?

Matthew Douglass practices at 1248 E 17th St, Idaho Falls, ID 83404. The listed phone number is (208) 542-1026.

What is Matthew Douglass's specialty?

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

Is Matthew Douglass enrolled in Medicare?

Yes. Matthew 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 Matthew Douglass accept?

Health plans from Moda Health Plan, Inc., Providence Health Plan, Select Health and University of Utah Health Plans list Matthew 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 Matthew Douglass was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.