CORRINE LEE DOUGLAS NP
NPI 1720481526
Nurse Practitioner - Pediatrics, Critical Care in Santa Cruz, CA
About Corrine Lee Douglas Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORRINE LEE DOUGLAS NP (NPI 1720481526) is an individual pediatrics, critical care provider in Santa Cruz, California, licensed in California (NP95001430) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Corrine Lee Douglas Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Corrine Douglas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Santa Cruz, CA 95062
- Reassigned Medicare billing, California enrollment
- 50 clinicians in this Medicare group
Morgan Hill, CA 95037
- Reassigned Medicare billing, California enrollment
- 2,460 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95062 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SANTA CRUZ, CA 95062
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 Corrine Douglas's NPI number?
The NPI number for Corrine Douglas is 1720481526. It was assigned to this individual provider in the NPPES registry on October 7, 2014.
Where is Corrine Douglas located?
Corrine Douglas practices at 1510 Capitola Rd, Santa Cruz, CA 95062. The listed phone number is (831) 427-3500.
What is Corrine Douglas's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.
Is Corrine Douglas enrolled in Medicare?
Yes. Corrine Douglas is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Corrine Douglas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Corrine Douglas reassigns Medicare benefits to 2 organizations: Santa Cruz Community Health Centers (Santa Cruz, CA) and County Of Santa Clara (Morgan Hill, CA). 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 Corrine 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 Corrine Douglas was last updated on May 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Corrine Lee Douglas, NP · NPI 1720481526
Pediatrics, Critical Care physician in Santa Cruz, California. Individual provider, active in the CMS NPPES registry since October 7, 2014.
## Identity
- **NPI:** 1720481526 (Entity type: Individual)
- **Enumerated:** October 7, 2014
- **Primary specialty:** Nurse Practitioner - Pediatrics, Critical Care · taxonomy 363LP0222X
- **State license:** NP95001430 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1510 CAPITOLA RD, Santa Cruz, CA 95062-2912
- **Phone:** (831) 427-3500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Santa Cruz Community Health Centers (NPI 1952749541, Santa Cruz, CA); County Of Santa Clara (NPI 1114676251, Morgan Hill, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1720481526) · Data from the CMS NPPES public registry.