1. Home
  2. Directory
  3. Pennsylvania
  4. Williamsport
  5. Nurse Practitioner
  6. NPI Profile

MRS. KELLY DOUGLASS CRNP
NPI 1598198525
Nurse Practitioner in Williamsport, PA

Active since August 13, 2013PECOS EnrolledAccepts Medicare Assignment
81.54/100
CMS Quality Rating
1705 WARREN AVE, SUITE 303, WILLIAMSPORT, PA 17701(570) 326-8500(570) 326-8049 Get Directions Write a Review

NPPES record last updated: August 13, 2013. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mrs. Kelly Douglass Crnp NPPES

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

MRS. KELLY DOUGLASS CRNP (NPI 1598198525) is an individual nurse practitioner in Williamsport, Pennsylvania, licensed in Pennsylvania (SP013049) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, is affiliated with Upmc Williamsport, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1598198525
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. KELLY DOUGLASSCredential: CRNP
Location Address1705 WARREN AVE, SUITE 303Williamsport, PA 17701-2665
Mailing Address1201 Grampian Blvd, Suite 1kWilliamsport, PA 17701-1900
Phone(570) 326-8500
Fax(570) 326-8049
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 13, 2013
✔ NPI 1598198525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP013049
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1705 WARREN AVE, Williamsport, PA 17701
Open in Google Maps ↗

Other Names 1

Former Name (1)Miss Kelly Jamison

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

Mrs. Kelly Douglass Crnp 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 ID4082841762
PECOS Enrollment IDI20131231000204
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.

Areas of Expertise CMS Part B claims 5

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.
339 services159 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
102 services102 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
28 services28 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
17 services16 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
15 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Williamsport

Acute Care Hospitals · Williamsport, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390045
Location700 High StreetWilliamsport, PA 17701 · Lycoming County
Emergency services Birthing friendly

Upmc Muncy

Critical Access Hospitals · Muncy, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number391301
Location215 East Water StreetMuncy, PA 17756 · Lycoming County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17701 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.04
Promoting Interoperability100
Improvement Activities40
Cost63.42

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers13 claims21 services$5.01 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier17 claims18 services$15.29 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers18 claims19 services$79.75 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 20

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

DR. MARK A RACKISH M.D.
Orthopaedic Surgery
1705 WARREN AVE, SUITE 101-103
WILLIAMSPORT, PA 17701
Lycoming County (570) 321-2020
SUSQUEHANNA PHYSICIAN SERVICES
Allergy & Immunology
1705 WARREN AVE, SUITE 201
WILLIAMSPORT, PA 17701
Lycoming County (570) 320-7645
SUSQUEHANNA PHYSICIAN SERVICES
Family Medicine
1705 WARREN AVE, SUITE 303
WILLIAMSPORT, PA 17701
Lycoming County (570) 326-8500
KAREN A ARMSON LPT
Physical Therapist (Orthopedic)
1705 WARREN AVE
WILLIAMSPORT, PA 17701
Lycoming County (570) 320-7470
THOMAS NEIL SHANER D.O.
Internal Medicine
1705 WARREN AVE
WILLIAMSPORT, PA 17701
Lycoming County (570) 322-4791
DR. RONALD ENRICO DISIMONE M.D.
Orthopaedic Surgery
1705 WARREN AVE, SUITE 101-103
WILLIAMSPORT, PA 17701
Lycoming County (570) 321-2020
JEFFREY CUNDIFF
Physician Assistant
1705 WARREN AVE, SUITE 101103
WILLIAMSPORT, PA 17701
Lycoming County (570) 321-2020
BEAVER EYEWEAR, INC.
Technician/Technologist (Optician)
1705 WARREN AVE
WILLIAMSPORT, PA 17701
Lycoming County (570) 322-1220

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 Kelly Douglass's NPI number?

The NPI number for Kelly Douglass is 1598198525. It was assigned to this individual provider in the NPPES registry on August 13, 2013. The provider is also known as Miss Kelly Jamison.

Where is Kelly Douglass located?

Kelly Douglass practices at 1705 Warren Ave Suite 303, Williamsport, PA 17701. The listed phone number is (570) 326-8500.

What is Kelly Douglass's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kelly Douglass enrolled in Medicare?

Yes. Kelly Douglass 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.

Is Kelly Douglass affiliated with any hospitals?

According to CMS data, Kelly Douglass is affiliated with Upmc Williamsport and Upmc Muncy.

When was this NPI record last updated?

The NPPES record for Kelly Douglass was last updated on August 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.