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JESSICA SIOBHAN DOUGLAS PA-C
NPI 1578996310
Physician Assistant in Eglon, WV

Active since August 15, 2013PECOS Enrolled
2604 GRANGE HALL ROAD, EGLON, WV 26716(304) 735-3155(304) 735-3409 Get Directions Write a Review

NPPES record last updated: May 3, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jessica Siobhan Douglas Pa-c NPPES

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

JESSICA SIOBHAN DOUGLAS PA-C (NPI 1578996310) is an individual physician assistant in Eglon, West Virginia and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578996310
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJESSICA SIOBHAN DOUGLASCredential: PA-C
Location Address2604 GRANGE HALL ROADEglon, WV 26716-0008
Mailing Address2604 Grange Hall RoadEglon, WV 26716 · (304) 735-3155
Phone(304) 735-3155
Fax(304) 735-3409
Sole ProprietorNo
Enumeration DateAugust 15, 2013
Last NPPES UpdateMay 3, 2016
✔ NPI 1578996310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2604 GRANGE HALL ROAD, Eglon, WV 26716
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Other Identifiers 4

Medicare PINWV3391AWV
Medicaid3810026498WV
Medicare PINWV3391BWV
Medicare PINP01623330WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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)

Jessica Siobhan Douglas Pa-c 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 26716 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers19 claims19 services$170.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

PRESTON TAYLOR COMMUNITY HEALTH CENTERS, INCORPORATED
Clinic/Center (Federally Qualified Health Center (FQHC))
2604 GRANGE HALL ROAD
EGLON, WV 26716
Preston County (304) 735-3155
ANDREW M FOY MD
Family Medicine
2604 GRANGE HALL ROAD
EGLON, WV 26716
Preston County (304) 735-3155

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 Jessica Douglas's NPI number?

The NPI number for Jessica Douglas is 1578996310. It was assigned to this individual provider in the NPPES registry on August 15, 2013.

Where is Jessica Douglas located?

Jessica Douglas practices at 2604 Grange Hall Road, Eglon, WV 26716. The listed phone number is (304) 735-3155.

What is Jessica Douglas's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jessica Douglas enrolled in Medicare?

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

What insurance does Jessica Douglas accept?

Health plans from CareSource list Jessica Douglas 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 Jessica Douglas was last updated on May 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.