PATRINE ANNA-LISA DOUGLAS DNP FNP-BC
NPI 1497116388
Nurse Practitioner - Family in Glen Cove, NY
About Patrine Anna-lisa Douglas Dnp Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATRINE ANNA-LISA DOUGLAS DNP FNP-BC (NPI 1497116388) is an individual family provider in Glen Cove, New York, licensed in New York (339847) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
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
Patrine Anna-lisa Douglas Dnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Patrine Douglas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hempstead, NY 11550
- Reassigned Medicare billing, New York enrollment
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 11542 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GLEN COVE, NY 11542
GLEN COVE, NY 11542
GLEN COVE, NY 11542
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 Patrine Douglas's NPI number?
The NPI number for Patrine Douglas is 1497116388. It was assigned to this individual provider in the NPPES registry on March 18, 2016.
Where is Patrine Douglas located?
Patrine Douglas practices at 101 Saint Andrews Ln, Glen Cove, NY 11542. The listed phone number is (516) 674-7300.
What is Patrine Douglas's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Patrine Douglas enrolled in Medicare?
Yes. Patrine 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 organization bills Medicare for Patrine Douglas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Patrine Douglas reassigns Medicare benefits to Wellness Serenity Pathway Nurse Practitioner In Psychiatry And Family (Hempstead, NY). The 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 Patrine 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 Patrine Douglas was last updated on June 26, 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.
# Patrine Anna-Lisa Douglas, DNP FNP-BC · NPI 1497116388
Family physician in Glen Cove, New York. Individual provider, active in the CMS NPPES registry since March 18, 2016.
## Identity
- **NPI:** 1497116388 (Entity type: Individual)
- **Enumerated:** March 18, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 339847 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 101 SAINT ANDREWS LN, Glen Cove, NY 11542-2254
- **Phone:** (516) 674-7300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Wellness Serenity Pathway Nurse Practitioner In Psychiatry And Family (NPI 1326929902, Hempstead, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** June 26, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1497116388) · Data from the CMS NPPES public registry.