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NICHOLAS DOUGLAS
NPI 1417686874
Nurse Anesthetist, Certified Registered in Hollywood, FL

Active since June 09, 2022Accepts Medicare Assignment
4108 W PARK RD, HOLLYWOOD, FL 33021(754) 214-4432 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicholas Douglas NPPES

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

NICHOLAS DOUGLAS (NPI 1417686874) is an individual nurse anesthetist, certified registered in Hollywood, Florida, licensed in Florida (11016993) and active in the NPI registry since June 2022. He is affiliated with Carolinas Medical Center/behav Health and is a graduate of Other (2020).

NPPES Registry Identity

NPI1417686874
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameNICHOLAS DOUGLAS
Location Address4108 W PARK RDHollywood, FL 33021-4244
Mailing Address4108 W Park RdHollywood, FL 33021-4244 · (754) 214-4432
Phone(754) 214-4432
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJune 9, 2022
Last NPPES UpdateJuly 25, 2025
NPPES CertifiedJuly 25, 2025
✔ NPI 1417686874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in FL · 11016993
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
4108 W PARK RD, Hollywood, FL 33021
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Plan of North Carolina, Inc.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

Nicholas Douglas 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 ID1355721416
PECOS Enrollment IDI20250227000175, I20250721002751, I20260305001234

Areas of Expertise CMS Part B claims 2

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
17 services17 patients
Anesthesia for x-ray or radiation therapy 01922
Anesthesia for x-ray or radiation therapy involves administering medication to help you relax or sleep during the procedure. It's used to ensure comfort, minimize movement, and reduce anxiety. The type of anesthesia used depends on the procedure and patient's health.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Musc Health Columbia Medical Center Downtown

Acute Care Hospitals · Columbia, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420026
Location2435 Forest DriveColumbia, SC 29204 · Richland County
Emergency services

Musc Health Florence Medical Center

Acute Care Hospitals · Florence, SC
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number420091
Location805 Pamplico Hwy Box 100550Florence, SC 29505 · Florence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33021 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
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

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

MRS. KRISTIN THERESE DOUGLAS ARNP
Nurse Practitioner (Family)
4108 W PARK RD
HOLLYWOOD, FL 33021
Broward County (954) 830-6154

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 Nicholas Douglas's NPI number?

The NPI number for Nicholas Douglas is 1417686874. It was assigned to this individual provider in the NPPES registry on June 9, 2022.

Where is Nicholas Douglas located?

Nicholas Douglas practices at 4108 W Park Rd, Hollywood, FL 33021. The listed phone number is (754) 214-4432.

What is Nicholas Douglas's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Nicholas Douglas enrolled in Medicare?

Yes. Nicholas 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.

What insurance does Nicholas Douglas accept?

Health plans from Molina Healthcare and Oscar Health Plan of North Carolina, Inc list Nicholas Douglas 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.

Is Nicholas Douglas affiliated with any hospitals?

According to CMS data, Nicholas Douglas is affiliated with Carolinas Medical Center/Behav Health, Musc Health Columbia Medical Center Downtown and Musc Health Florence Medical Center.

When was this NPI record last updated?

The NPPES record for Nicholas Douglas was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.