ANNYELLA MARI DOUGLAS
NPI 1619438348
Dermatology in Pembroke Pines, FL

Active since March 26, 2019PECOS EnrolledAccepts Medicare Assignment
77.25/100
CMS Quality Rating
3 SW 129TH AVE STE 100, PEMBROKE PINES, FL 33027(866) 400-3376(954) 217-3222 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Annyella Mari Douglas NPPES

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

ANNYELLA MARI DOUGLAS (NPI 1619438348) is an individual dermatology provider in Pembroke Pines, Florida, licensed in Florida (ME163979) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania State University College Of Medicine (2019).

NPPES Registry Identity

NPI1619438348
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameANNYELLA MARI DOUGLAS
Location Address3 SW 129TH AVE STE 100Pembroke Pines, FL 33027-1778
Mailing Address3 Sw 129th Ave Ste 100Pembroke Pines, FL 33027-1778 · (866) 400-3376 · Fax (954) 217-3222
Fax(954) 217-3222
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2019
Enumeration DateMarch 26, 2019
Last NPPES UpdateAugust 31, 2023
NPPES CertifiedAugust 31, 2023
NPI 1619438348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in FL · ME163979
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

3 SW 129TH AVE STE 100, Pembroke Pines, FL 33027

Accepted Insurance

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

Annyella Mari Douglas 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 ID5597090795
PECOS Enrollment IDI20230807003524
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 10

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
199 services31 patients
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.
84 services40 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
65 services44 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
51 services42 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
42 services30 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
37 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33027 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

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.

77.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.22
Improvement Activities40
Cost49.44

Other Providers at the Same Location NPPES 4

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

Dermatology
3 SW 129TH AVE STE 100
PEMBROKE PINES, FL 33027
Dermatology
3 SW 129TH AVE STE 100
PEMBROKE PINES, FL 33027
Physician Assistant (Medical)
3 SW 129TH AVE STE 100
PEMBROKE PINES, FL 33027
Dermatology
3 SW 129TH AVE STE 100
PEMBROKE PINES, FL 33027

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 Annyella Douglas's NPI number?

The NPI number for Annyella Douglas is 1619438348. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Where is Annyella Douglas located?

Annyella Douglas practices at 3 SW 129th Ave Ste 100, Pembroke Pines, FL 33027. The listed phone number is (866) 400-3376.

What is Annyella Douglas's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Annyella Douglas enrolled in Medicare?

Yes. Annyella 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.

What insurance does Annyella Douglas accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Annyella 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 Annyella Douglas was last updated on August 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.