CHEYANNA B. DOUGLAS APN
NPI 1740989680
Nurse Practitioner - Acute Care in Marlton, NJ

Active since February 28, 2023PECOS EnrolledAccepts Medicare Assignment
536 LIPPINCOTT DR, MARLTON, NJ 08053(856) 355-7155(856) 325-4798 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 30, 2026, Dec 23, 2025, Jun 23, 2025 and 3 more (6 updates tracked since 2023).

About Cheyanna B. Douglas Apn NPPES

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

CHEYANNA B. DOUGLAS APN (NPI 1740989680) is an individual acute care provider in Marlton, New Jersey, licensed in New Jersey (26NJ15100600) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and maintains 9 additional practice locations.

NPPES Registry Identity

NPI1740989680
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameCHEYANNA B. DOUGLASCredential: APN
Location Address536 LIPPINCOTT DRMarlton, NJ 08053-4805
Mailing Address301 Lippincott Dr Ste 410Marlton, NJ 08053-4197
Fax(856) 325-4798
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 28, 2023
Last NPPES UpdateMarch 30, 20266 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
✔ NPI 1740989680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in NJ · 26NJ15100600
536 LIPPINCOTT DR, Marlton, NJ 08053

Secondary Practice Locations 9

Location 190 Brick Rd Fl 3Marlton, NJ 08053-2177 · Phone (856) 247-2160 · Fax (856) 247-2165
Location 2175 Madison Ave Fl 1Mount Holly, NJ 08060-2099 · Phone (609) 914-6000 · Fax (609) 914-6182
Location 31600 Haddon Ave Fl 6Camden, NJ 08103-3101 · Phone (856) 247-2160 · Fax (856) 247-2165
Location 4100 Bowman Dr Lowr Level2Voorhees, NJ 08043-9612 · Phone (856) 247-2160 · Fax (856) 247-2165
Location 53202 Taubel LnRiverside, NJ 08075-3833 · Phone (856) 264-0196
Location 61 Capital WayPennington, NJ 08534-2520 · Phone (609) 303-4000
Location 7750 Brunswick AveTrenton, NJ 08638-4143 · Phone (609) 394-6000
Location 8218 Sunset Rd Fl 5Willingboro, NJ 08046-1110 · Phone (856) 247-2160 · Fax (856) 247-2165
Location 91 Brace Rd Ste C5Cherry Hill, NJ 08034-2600 · Phone (856) 355-7155 · Fax (856) 325-4798

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cheyanna B. Douglas Apn 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 ID7416482260
PECOS Enrollment IDI20241203001707
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

2

Medicare enrollment records show Cheyanna Douglas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
401 YOUNG AVE STE 180 FRONT
Moorestown, NJ 08057
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,074 clinicians in this Medicare group
Surgery
750 BRUNSWICK AVE
Trenton, NJ 08638
  • Reassigned Medicare billing, New Jersey enrollment
  • 600 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.

Hospital Affiliations CMS Care Compare 4

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

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310022
Location100 Bowman DriveVoorhees, NJ 08043 · Camden County
Emergency services Birthing friendly

Virtua Our Lady Of Lourdes Hospital

Acute Care Hospitals · Camden, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310029
Location1600 Haddon AvenueCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

Virtua Mount Holly Hospital

Acute Care Hospitals · Mount Holly, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310057
Location175 Madison AveMount Holly, NJ 08060 · Burlington County
Emergency services Birthing friendly

Virtua Willingboro Hospital

Acute Care Hospitals · Willingboro, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310061
Location218A Sunset RoadWillingboro, NJ 08046 · Burlington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08053 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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 6

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

Family Medicine (Hospice and Palliative Medicine)
536 LIPPINCOTT DR
MARLTON, NJ 08053
Nurse Practitioner
536 LIPPINCOTT DR
MARLTON, NJ 08053
Internal Medicine (Hospice and Palliative Medicine)
536 LIPPINCOTT DR
MARLTON, NJ 08053
Social Worker (Clinical)
536 LIPPINCOTT DR
MARLTON, NJ 08053
Nurse Practitioner (Family)
536 LIPPINCOTT DR
MARLTON, NJ 08053
Nurse Practitioner
536 LIPPINCOTT DR
MARLTON, NJ 08053

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 Cheyanna Douglas's NPI number?

The NPI number for Cheyanna Douglas is 1740989680. It was assigned to this individual provider in the NPPES registry on February 28, 2023.

Where is Cheyanna Douglas located?

Cheyanna Douglas practices at 536 Lippincott Dr, Marlton, NJ 08053. The listed phone number is (856) 355-7155.

What is Cheyanna Douglas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Cheyanna Douglas enrolled in Medicare?

Yes. Cheyanna 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.

Which organizations bill Medicare for Cheyanna Douglas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cheyanna Douglas reassigns Medicare benefits to 2 organizations: Virtua Medical Group, PA (Moorestown, NJ) and Capital Health Multispecialty Group (Trenton, NJ). 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 Cheyanna Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Cheyanna Douglas affiliated with any hospitals?

According to CMS data, Cheyanna Douglas is affiliated with West Jersey Hospital, Virtua Our Lady Of Lourdes Hospital, Virtua Mount Holly Hospital and Virtua Willingboro Hospital.

When was this NPI record last updated?

The NPPES record for Cheyanna Douglas was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.