DANIELLE BRIANNA-DOUTHAT DOUGLAS CNM, FNP-BC - NPI 1609225564 - Advanced Practice Midwife in Ann Arbor, MI

Q: What is Danielle Douglas's NPI number?

The NPI number for Danielle Douglas is 1609225564. It was assigned to this individual provider in the NPPES registry on June 10, 2016.

Q: What is Danielle Douglas's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Danielle Douglas was last updated on March 19, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Danielle Brianna-douthat Douglas Cnm, Fnp-bc NPPES

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

DANIELLE BRIANNA-DOUTHAT DOUGLAS CNM, FNP-BC (NPI 1609225564) is an individual advanced practice midwife in Ann Arbor, Michigan, licensed in Michigan (4704292408) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Southfield.

NPPES Registry Identity

NPI1609225564

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameDANIELLE BRIANNA-DOUTHAT DOUGLASCredential: CNM, FNP-BC

Location Address210 LITTLE LAKE DR STE 10Ann Arbor, MI 48103-6218

Mailing Address210 Little Lake Dr Ste 10Ann Arbor, MI 48103-6218 · (734) 332-9936 · Fax (206) 666-2989

Phone(734) 332-9936

Fax(206) 666-2989

Sole ProprietorNo

Enumeration DateJune 10, 2016

Last NPPES UpdateMarch 19, 20192 updates tracked since enumeration

✔ NPI 1609225564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in MI · 4704292408

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 4704292408 (MI)

210 LITTLE LAKE DR STE 10, Ann Arbor, MI 48103

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Secondary Practice Location 1

Location 122255 Greenfield Rd Ste 352Southfield, MI 48075-3712 · Phone (248) 849-3401 · Fax (248) 849-4106

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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)

Danielle Brianna-douthat Douglas Cnm, Fnp-bc 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 48103 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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 5

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

MALCOLM SICKELS MD P.C.

Family Medicine