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JESSICA A DOUGLASS
NPI 1457799009
Nurse Practitioner - Adult Health in Kalamazoo, MI

Active since June 05, 2013PECOS EnrolledAccepts Medicare Assignment
84.88/100
CMS Quality Rating
601 JOHN ST STE M-302, KALAMAZOO, MI 49007(269) 349-2266(269) 341-7781 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 24, 2024, Oct 5, 2020 (2 updates tracked since 2020).

About Jessica A Douglass NPPES

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

JESSICA A DOUGLASS (NPI 1457799009) is an individual adult health provider in Kalamazoo, Michigan, licensed in Michigan (4704271777) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Bronson Methodist Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1457799009
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJESSICA A DOUGLASS
Location Address601 JOHN ST STE M-302Kalamazoo, MI 49007-5357
Mailing Address601 John St, Box 74Kalamazoo, MI 49007-5341 · (269) 341-8481 · Fax (269) 341-7781
Phone(269) 349-2266
Fax(269) 341-7781
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 5, 2013
Last NPPES UpdateSeptember 24, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
✔ NPI 1457799009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MI · 4704271777
601 JOHN ST STE M-302, Kalamazoo, MI 49007
Open in Google Maps ↗

Other Names 1

Former Name (1)Jessica A Michael

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and more.Insurance ›

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

Jessica A Douglass 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 ID6901031228
PECOS Enrollment IDI20131022001784
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

2

Medicare enrollment records show Jessica Douglass reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bronson Methodist Hospital
Same address
Hospitalist
601 JOHN STREET
Kalamazoo, MI 49007
  • Reassigned Medicare billing, Michigan enrollment
  • 1,133 clinicians in this Medicare group
NPI 1417961137 (269) 341-7654
Bronson Battle Creek Hospital
21 mi
Internal Medicine
300 NORTH AVE
Battle Creek, MI 49017
  • Reassigned Medicare billing, Michigan enrollment
  • 557 clinicians in this Medicare group
NPI 1093119638 (269) 245-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.
133 services115 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
129 services121 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230017
Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County
Emergency services Birthing friendly

Bronson Battle Creek Hospital

Acute Care Hospitals · Battle Creek, MI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number230075
Location300 North AvenueBattle Creek, MI 49017 · Calhoun County
Emergency services Birthing friendly

Bronson Lakeview Hospital

Critical Access Hospitals · Paw Paw, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231332
Location408 Hazen StreetPaw Paw, MI 49079 · Van Buren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49007 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

84.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.29
Promoting Interoperability100
Improvement Activities40
Cost68.32

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.

KRISTEN MICHELLE BUDDEN
Physician Assistant
601 JOHN ST STE M-302
KALAMAZOO, MI 49007
Kalamazoo County (269) 341-4890
ERIC MARTIN SIELOFF MD
Internal Medicine (Gastroenterology)
601 JOHN ST STE M-302
KALAMAZOO, MI 49007
Kalamazoo County (269) 349-2266
MARK ANDREW KOCAB MD
Internal Medicine (Gastroenterology)
601 JOHN ST STE M-302
KALAMAZOO, MI 49007
Kalamazoo County (269) 349-2266

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 Jessica Douglass's NPI number?

The NPI number for Jessica Douglass is 1457799009. It was assigned to this individual provider in the NPPES registry on June 5, 2013. The provider is also known as Jessica A Michael.

Where is Jessica Douglass located?

Jessica Douglass practices at 601 John St Ste M-302, Kalamazoo, MI 49007. The listed phone number is (269) 349-2266.

What is Jessica Douglass's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jessica Douglass enrolled in Medicare?

Yes. Jessica 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.

Which organizations bill Medicare for Jessica Douglass's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Douglass reassigns Medicare benefits to 2 organizations: Bronson Methodist Hospital (Kalamazoo, MI) and Bronson Battle Creek Hospital (Battle Creek, MI). 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 Jessica Douglass's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Douglass accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Jessica 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.

Is Jessica Douglass affiliated with any hospitals?

According to CMS data, Jessica Douglass is affiliated with Bronson Methodist Hospital, Bronson Battle Creek Hospital and Bronson Lakeview Hospital.

When was this NPI record last updated?

The NPPES record for Jessica Douglass was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.