JILL ANN DOUGLAS NP
NPI 1548389075
Nurse Practitioner - Family in Stony Brook, NY

Active since March 28, 2007PECOS Enrolled
STONY BROOK UNIVERSITY MEDICAL CTR, HSC T-15 RM080, STONY BROOK, NY 11794(631) 444-4793(631) 444-4695 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jill Ann Douglas Np NPPES

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

JILL ANN DOUGLAS NP (NPI 1548389075) is an individual family provider in Stony Brook, New York, licensed in New York (F332162) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548389075
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJILL ANN DOUGLASCredential: NP
Location AddressSTONY BROOK UNIVERSITY MEDICAL CTR, HSC T-15 RM080Stony Brook, NY 11794-8153
Mailing Address308 Gibbs Pond RdNesconset, NY 11767-2200 · (631) 444-4793 · Fax (631) 444-4695
Fax(631) 444-4695
Sole ProprietorYes
Enumeration DateMarch 28, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1548389075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · F332162
STONY BROOK UNIVERSITY MEDICAL CTR, Stony Brook, NY 11794

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jill Ann Douglas Np 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 11794 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.

Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
STONY BROOK UNIVERSITY MEDICAL CTR, DEPARTMENT OF OB/GYN, HSC, T9
STONY BROOK, NY 11794
Emergency Medicine
STONY BROOK UNIVERSITY MEDICAL CTR, HSC L4 RM 080
STONY BROOK, NY 11794
Nurse Practitioner (Pediatrics)
STONY BROOK UNIVERSITY MEDICAL CTR, HSC-T-11-080, DEPT. PEDIATRICS
STONY BROOK, NY 11794
Physician Assistant (Surgical)
STONY BROOK UNIVERSITY MEDICAL CTR, HSC T19080
STONY BROOK, NY 11794
Nurse Practitioner (Adult Health)
STONY BROOK UNIVERSITY MEDICAL CTR, 3 EDMUND PELLEGRINO DR.
STONY BROOK, NY 11794
Nurse Practitioner (Adult Health)
STONY BROOK UNIVERSITY MEDICAL CTR, 16S ROOM 087
STONY BROOK, NY 11794
Physician Assistant (Surgical)
STONY BROOK UNIVERSITY MEDICAL CTR, HSC LEVEL 19 ROOM 060, DEPARTMENT OF SURGERY
STONY BROOK, NY 11794
Pediatrics (Pediatric Gastroenterology)
STONY BROOK UNIVERSITY MEDICAL CTR, HEALTH SCIENCE CENTER T11-080
STONY BROOK, NY 11794

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 Jill Douglas's NPI number?

The NPI number for Jill Douglas is 1548389075. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Jill Douglas located?

Jill Douglas practices at Stony Brook University Medical Ctr Hsc T-15 Rm080, Stony Brook, NY 11794. The listed phone number is (631) 444-4793.

What is Jill Douglas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jill Douglas enrolled in Medicare?

Yes. Jill Douglas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jill Douglas was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.