KATHRYN ELIZABETH DOUGLASS CPNP
NPI 1497043954
Nurse Practitioner - Pediatrics in Minnetonka, MN

Q: What is Kathryn Douglass's NPI number?

The NPI number for Kathryn Douglass is 1497043954. It was assigned to this individual provider in the NPPES registry on July 19, 2011.

Q: What is Kathryn Douglass's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Kathryn Douglass was last updated on July 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since July 19, 2011PECOS Enrolled

17750 HUTCHINS DR., MINNETONKA, MN 55345(952) 401-8300(952) 401-8373 Get Directions Write a Review

NPPES record last updated: July 19, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kathryn Elizabeth Douglass Cpnp NPPES

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

KATHRYN ELIZABETH DOUGLASS CPNP (NPI 1497043954) is an individual pediatrics provider in Minnetonka, Minnesota, licensed in Minnesota (20102395) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497043954

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameKATHRYN ELIZABETH DOUGLASSCredential: CPNP

Location Address17750 HUTCHINS DR.Minnetonka, MN 55345

Mailing Address17750 Hutchins Dr.Minnetonka, MN 55345 · (952) 401-8300 · Fax (952) 401-8373

Phone(952) 401-8300

Fax(952) 401-8373

Sole ProprietorNo

Enumeration DateJuly 19, 2011

✔ NPI 1497043954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in MN · 20102395

17750 HUTCHINS DR., Minnetonka, MN 55345

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn Elizabeth Douglass Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 55345 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

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 Kathryn Douglass's NPI number?

The NPI number for Kathryn Douglass is 1497043954. It was assigned to this individual provider in the NPPES registry on July 19, 2011.

Where is Kathryn Douglass located?

Kathryn Douglass practices at 17750 Hutchins Dr., Minnetonka, MN 55345. The listed phone number is (952) 401-8300.

What is Kathryn Douglass's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kathryn Douglass enrolled in Medicare?

Yes. Kathryn Douglass is registered in the Medicare PECOS enrollment system.

What insurance does Kathryn Douglass accept?

Health plans from HealthPartners and Medica list Kathryn 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 Kathryn Douglass was last updated on July 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.