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JENNIFER DOUGLAS
NPI 1720229461
Dental Hygienist in Hyannis, MA

Active since March 10, 2009PECOS Enrolled

NPPES record last updated: March 10, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jennifer Douglas NPPES

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

JENNIFER DOUGLAS (NPI 1720229461) is an individual dental hygienist in Hyannis, Massachusetts, licensed in Massachusetts (DH11994) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720229461
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameJENNIFER DOUGLAS
Location Address30 ELM AVEHyannis, MA 02601-5547
Mailing Address50 Redfield St, Suite 302Dorchester, MA 02122-3630 · (617) 506-5160
Phone(508) 778-0300
Sole ProprietorNo
Enumeration DateMarch 10, 2009
✔ NPI 1720229461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in MA · DH11994
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
30 ELM AVE, Hyannis, MA 02601
Open in Google Maps ↗

Other Names 1

Other Name (5)Jennifer Douglas

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Douglas 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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Douglas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Harbor Health Services, Inc.
1.6 mi
Community Health
735 ATTUCKS LN
Hyannis, MA 02601
  • Reassigned Medicare billing, Massachusetts enrollment
  • 23 clinicians in this Medicare group
NPI 1376502070 (508) 778-0300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

VALERIE K. SULLIVAN RN
Registered Nurse
30 ELM AVE
HYANNIS, MA 02601
Barnstable County (508) 778-0300
CEZAR MARTINI DDS
Dentist
30 ELM AVE
HYANNIS, MA 02601
Barnstable County (508) 778-0300
MS. BARBARA LIVINGSTON R.N.
Registered Nurse (Psychiatric/Mental Health)
30 ELM AVE
HYANNIS, MA 02601
Barnstable County (508) 778-5420
MARCELO BRUYCKER DASILVA
Dentist
30 ELM AVE
HYANNIS, MA 02601
Barnstable County (508) 778-0300
MR. KEVIN KENNEDY DMD
Dentist (General Practice)
30 ELM AVE
HYANNIS, MA 02601
Barnstable County (508) 778-0300
PAULA CONNORS
Registered Nurse
30 ELM AVE
HYANNIS, MA 02601
Barnstable County (508) 778-0300
COLLETTE DRISCOLL
Registered Nurse
30 ELM AVE
HYANNIS, MA 02601
Barnstable County (508) 778-0300
MINDY M PARNES MD
Internal Medicine
30 ELM AVE
HYANNIS, MA 02601
Barnstable County (508) 778-0300

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 Jennifer Douglas's NPI number?

The NPI number for Jennifer Douglas is 1720229461. It was assigned to this individual provider in the NPPES registry on March 10, 2009.

Where is Jennifer Douglas located?

Jennifer Douglas practices at 30 Elm Ave, Hyannis, MA 02601. The listed phone number is (508) 778-0300.

What is Jennifer Douglas's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

Is Jennifer Douglas enrolled in Medicare?

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

Which organization bills Medicare for Jennifer Douglas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Douglas reassigns Medicare benefits to Harbor Health Services, Inc. (Hyannis, MA). The 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 Jennifer Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Douglas was last updated on March 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.