DR. ELAINE J DOUGLAS MD
NPI 1558347369
Psychiatry & Neurology - Psychiatry in Hershey, PA

Active since December 22, 2005PECOS EnrolledAccepts Medicare Assignment
22 NORTHEAST DR, HERSHEY, PA 17033(800) 243-1455 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Elaine J Douglas Md NPPES

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

DR. ELAINE J DOUGLAS MD (NPI 1558347369) is an individual psychiatry provider in Hershey, Pennsylvania, licensed in Pennsylvania (MD060401L) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Milton S Hershey Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1558347369
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. ELAINE J DOUGLASCredential: MD
Location Address22 NORTHEAST DRHershey, PA 17033-2732
Mailing Address2 Nook AlyMechanicsburg, PA 17050-4116 · (717) 858-1822
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 1994
Enumeration DateDecember 22, 2005
Last NPPES UpdateJuly 10, 2024
NPPES CertifiedJuly 10, 2024
✔ NPI 1558347369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in PA · MD060401L
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
22 NORTHEAST DR, Hershey, PA 17033

Secondary Practice Locations 2

Location 11170 S State StEphrata, PA 17522-2601 · Phone (717) 859-8000
Location 2500 University DrHershey, PA 17033-2360 · Phone (717) 531-1108

Other Identifiers 1

Medicaid0017340010003PA

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

Dr. Elaine J Douglas Md 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 ID7012938640
PECOS Enrollment IDI20051212000349
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 Elaine Douglas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
35 HOPE DR
Hershey, PA 17033
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,216 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
1489 BALTIMORE PIKE, BUILDING 300, SUITE 300, THE MILLS OF VICTORIA
Springfield, PA 19064
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 232 clinicians in this Medicare group

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 2

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.
43 services33 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17033 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
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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.

Psychologist (Clinical)
22 NORTHEAST DR
HERSHEY, PA 17033
Social Worker
22 NORTHEAST DR
HERSHEY, PA 17033
Registered Nurse (Psychiatric/Mental Health)
22 NORTHEAST DR
HERSHEY, PA 17033
Social Worker (Clinical)
22 NORTHEAST DR
HERSHEY, PA 17033
Psychologist
22 NORTHEAST DR
HERSHEY, PA 17033
Counselor (Professional)
22 NORTHEAST DR
HERSHEY, PA 17033
Social Worker (Clinical)
22 NORTHEAST DR
HERSHEY, PA 17033
Behavior Analyst
22 NORTHEAST DR
HERSHEY, PA 17033

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 Elaine Douglas's NPI number?

The NPI number for Elaine Douglas is 1558347369. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Elaine Douglas located?

Elaine Douglas practices at 22 Northeast Dr, Hershey, PA 17033. The listed phone number is (800) 243-1455.

What is Elaine Douglas's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Elaine Douglas enrolled in Medicare?

Yes. Elaine 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 organizations bill Medicare for Elaine Douglas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elaine Douglas reassigns Medicare benefits to 2 organizations: The Milton S Hershey Medical Center Physicians Group (Hershey, PA) and Greater Philadelphia Health Action Inc. (Springfield, PA). 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 Elaine Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Elaine Douglas affiliated with any hospitals?

According to CMS data, Elaine Douglas is affiliated with Milton S Hershey Medical Center.

When was this NPI record last updated?

The NPPES record for Elaine Douglas was last updated on July 10, 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.