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ASHLEIGH DOUGLAS
NPI 1669940664
Nurse Anesthetist, Certified Registered in Watertown, WI

Active since November 07, 2018PECOS Enrolled
125 HOSPITAL DR, WATERTOWN, WI 53098(920) 261-4210 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 11, 2025, Nov 7, 2018 (2 updates tracked since 2018).

About Ashleigh Douglas NPPES

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

ASHLEIGH DOUGLAS (NPI 1669940664) is an individual nurse anesthetist, certified registered in Watertown, Wisconsin, licensed in Wisconsin (225088) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with Fort Memorial Hospital, and maintains a secondary practice location in Fort Atkinson.

NPPES Registry Identity

NPI1669940664
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameASHLEIGH DOUGLAS
Location Address125 HOSPITAL DRWatertown, WI 53098-3303
Mailing AddressPo Box 249Fort Atkinson, WI 53538-0249 · (706) 832-7340
Phone(920) 261-4210
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 7, 2018
Last NPPES UpdateFebruary 11, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2025
✔ NPI 1669940664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in WI · 225088
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
125 HOSPITAL DR, Watertown, WI 53098
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Secondary Practice Location 1

Location 1611 Sherman Ave EFort Atkinson, WI 53538-1960 · Phone (920) 568-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Group Health Cooperative-SCW.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ashleigh Douglas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385977719
PECOS Enrollment IDI20190617002757
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

5

Medicare enrollment records show Ashleigh Douglas reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Watertown Anesthesia, LLC
Same address
Anesthesiology
125 HOSPITAL DR
Watertown, WI 53098
  • Reassigned Medicare billing, Wisconsin enrollment
  • 13 clinicians in this Medicare group
NPI 1508501495 (920) 541-1872
Fort Healthcare, Inc.
20 mi
General Acute Care Hospital
611 SHERMAN AVE E
Fort Atkinson, WI 53538
  • Reassigned Medicare billing, Wisconsin enrollment
  • 298 clinicians in this Medicare group
NPI 1811916281 (920) 568-5000
Vituity-Wisconsin Anesthesia Sc
29 mi
Anesthesiology
19333 W NORTH AVE
Brookfield, WI 53045
  • Reassigned Medicare billing, Wisconsin enrollment
  • 210 clinicians in this Medicare group
NPI 1558195719 (262) 785-2000
Ascension Medical Group-Southeast Wisconsin Inc
40 mi
Internal Medicine
400 W RIVER WOODS PKWY
Glendale, WI 53212
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
NPI 1609881077 (414) 465-3000
Andisthesia LLC
42 mi
Nurse Anesthetist, Certified Registered
6495 S 27TH ST
Franklin, WI 53132
  • Reassigned Medicare billing, Wisconsin enrollment
  • 7 clinicians in this Medicare group
NPI 1881303964 (262) 271-7026

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 8

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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
75 services75 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
34 services33 patients
Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
24 services24 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
21 services21 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
21 services21 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
20 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Fort Memorial Hospital

Acute Care Hospitals · Fort Atkinson, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number520071
Location611 Sherman Ave EFort Atkinson, WI 53538 · Jefferson County
Emergency services Birthing friendly

Watertown Memorial Hospital

Acute Care Hospitals · Watertown, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520116
Location125 Hospital DriveWatertown, WI 53098 · Dodge County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53098 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

MRS. SHANDELL LEE HERRICK FNP-BC
Registered Nurse
125 HOSPITAL DR
WATERTOWN, WI 53098
Dodge County (262) 325-9309
MS. REBECCA M ALTSHULL RD
Dietitian, Registered
125 HOSPITAL DR
WATERTOWN, WI 53098
Dodge County (920) 262-4784
METROPOLITAN WATERTOWN LLC
Anesthesiology (Pain Medicine)
125 HOSPITAL DR
WATERTOWN, WI 53098
Dodge County (920) 262-4210
SHERIDAN HEALTHCARE SERVICES OF WISCONSIN, S.C.
Anesthesiology
125 HOSPITAL DR
WATERTOWN, WI 53098
Dodge County (920) 261-4210
DR. KACI LEE AXELSON MD
Obstetrics & Gynecology
125 HOSPITAL DR
WATERTOWN, WI 53098
Dodge County (262) 492-6549
MRS. AMBER KATHLYN MILLER APRN
Nurse Practitioner (Family)
125 HOSPITAL DR
WATERTOWN, WI 53098
Dodge County (920) 262-4495
WATERTOWN ANESTHESIOLOGY SC
Anesthesiology
125 HOSPITAL DR
WATERTOWN, WI 53098
Dodge County (920) 262-4450
LINDSEY KAY MARTENS PA-C
Physician Assistant
125 HOSPITAL DR
WATERTOWN, WI 53098
Dodge County (920) 206-3042

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 Ashleigh Douglas's NPI number?

The NPI number for Ashleigh Douglas is 1669940664. It was assigned to this individual provider in the NPPES registry on November 7, 2018.

Where is Ashleigh Douglas located?

Ashleigh Douglas practices at 125 Hospital Dr, Watertown, WI 53098. The listed phone number is (920) 261-4210.

What is Ashleigh Douglas's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Ashleigh Douglas enrolled in Medicare?

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

Which organizations bill Medicare for Ashleigh Douglas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashleigh Douglas reassigns Medicare benefits to 5 organizations: Watertown Anesthesia, LLC (Watertown, WI), Fort Healthcare, Inc. (Fort Atkinson, WI), Vituity-Wisconsin Anesthesia Sc (Brookfield, WI), Ascension Medical Group-Southeast Wisconsin Inc (Glendale, WI) and Andisthesia LLC (Franklin, WI). 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 Ashleigh Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashleigh Douglas accept?

Health plans from CareSource (Common Ground Healthcare) and Group Health Cooperative-SCW list Ashleigh 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.

Is Ashleigh Douglas affiliated with any hospitals?

According to CMS data, Ashleigh Douglas is affiliated with Fort Memorial Hospital and Watertown Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Ashleigh Douglas was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.