PATRINE ANNA-LISA DOUGLAS DNP FNP-BC
NPI 1497116388
Nurse Practitioner - Family in Glen Cove, NY

Active since March 18, 2016PECOS EnrolledAccepts Medicare Assignment
101 SAINT ANDREWS LN, GLEN COVE, NY 11542(516) 674-7300 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 26, 2024, Nov 27, 2019, Aug 28, 2019 and 1 more (4 updates tracked since 2016).

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

NPI1497116388
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePATRINE ANNA-LISA DOUGLASCredential: DNP FNP-BC
Location Address101 SAINT ANDREWS LNGlen Cove, NY 11542-2254
Mailing Address101 Saint Andrews LnGlen Cove, NY 11542-2254 · (516) 674-7300
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 18, 2016
Last NPPES UpdateJune 26, 20244 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
NPI 1497116388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 339847
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 405949 (NY)
101 SAINT ANDREWS LN, Glen Cove, NY 11542

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

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.

PECOS PAC ID2365930260
PECOS Enrollment IDI20251022004159
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 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.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 20

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

Nurse Practitioner (Family)
101 SAINT ANDREWS LN
GLEN COVE, NY 11542
Pharmacist
101 SAINT ANDREWS LN
GLEN COVE, NY 11542
Emergency Medicine
101 SAINT ANDREWS LN
GLEN COVE, NY 11542
Student in an Organized Health Care Education/Training Program
101 SAINT ANDREWS LN, NSLIJ-GLEN COVE HOSPITAL
GLEN COVE, NY 11542
Hospitalist
101 SAINT ANDREWS LN
GLEN COVE, NY 11542
Student in an Organized Health Care Education/Training Program
101 SAINT ANDREWS LN
GLEN COVE, NY 11542
Internal Medicine
101 SAINT ANDREWS LN
GLEN COVE, NY 11542
Radiology (Diagnostic Radiology)
101 SAINT ANDREWS LN
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.

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.