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THERESA DOUSE CRNP
NPI 1679846794
Nurse Practitioner in Doylestown, PA

Active since February 21, 2012PECOS EnrolledAccepts Medicare Assignment
595 W STATE STREET, DIABETES MANAGEMENT, DOYLESTOWN, PA 18901(215) 345-2172(215) 345-2525 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2025, Apr 7, 2021 (2 updates tracked since 2021).

About Theresa Douse Crnp NPPES

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

THERESA DOUSE CRNP (NPI 1679846794) is an individual nurse practitioner in Doylestown, Pennsylvania, licensed in Pennsylvania (SP011803) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS, is affiliated with Doylestown Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1679846794
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTHERESA DOUSECredential: CRNP
Location Address595 W STATE STREET, DIABETES MANAGEMENTDoylestown, PA 18901
Mailing AddressPo Box 829641Philadelphia, PA 19182-9641 · (267) 370-5296 · Fax (215) 230-3725
Phone(215) 345-2172
Fax(215) 345-2525
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 21, 2012
Last NPPES UpdateFebruary 6, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2025
✔ NPI 1679846794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP011803
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.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License SP011803 (PA)
595 W STATE STREET, Doylestown, PA 18901
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Theresa Douse 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 ID7315190188
PECOS Enrollment IDI20130102000301
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.

Hospital Affiliations CMS Care Compare

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

Doylestown Hospital

Acute Care Hospitals · Doylestown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390203
Location595 West State StDoylestown, PA 18901 · Bucks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18901 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

MRS. KELLY A. BUCCI CRNA
Nurse Anesthetist, Certified Registered
595 W STATE STREET
DOYLESTOWN, PA 18901
Bucks County (215) 345-2207
VIA AFFILIATES
Internal Medicine (Endocrinology, Diabetes & Metabolism)
595 W STATE STREET, DIABETES MANAGEMENT
DOYLESTOWN, PA 18901
Bucks County (215) 345-2172

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 Theresa Douse's NPI number?

The NPI number for Theresa Douse is 1679846794. It was assigned to this individual provider in the NPPES registry on February 21, 2012.

Where is Theresa Douse located?

Theresa Douse practices at 595 W State Street Diabetes Management, Doylestown, PA 18901. The listed phone number is (215) 345-2172.

What is Theresa Douse's specialty?

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

Is Theresa Douse enrolled in Medicare?

Yes. Theresa Douse 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 Theresa Douse accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Theresa Douse 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 Theresa Douse affiliated with any hospitals?

According to CMS data, Theresa Douse is affiliated with Doylestown Hospital.

When was this NPI record last updated?

The NPPES record for Theresa Douse was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.