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VALERIE ANN DOUGLAS MSN-ANP
NPI 1801131230
Nurse Practitioner - Adult Health in Dallas, TX

Active since December 12, 2012PECOS EnrolledAccepts Medicare Assignment
3600 GASTON AVE, #651 - WADLEY, DALLAS, TX 75246(214) 820-9115(214) 820-9135 Get Directions Write a Review

NPPES record last updated: July 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Valerie Ann Douglas Msn-anp NPPES

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

VALERIE ANN DOUGLAS MSN-ANP (NPI 1801131230) is an individual adult health provider in Dallas, Texas, licensed in Texas (737658) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Irving, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1801131230
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameVALERIE ANN DOUGLASCredential: MSN-ANP
Location Address3600 GASTON AVE, #651 - WADLEYDallas, TX 75246-1800
Mailing Address3600 Gaston Ave, #651 - WadleyDallas, TX 75246-1800 · (214) 820-9115 · Fax (214) 820-9135
Phone(214) 820-9115
Fax(214) 820-9135
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 12, 2012
Last NPPES UpdateJuly 28, 2023
NPPES CertifiedJuly 28, 2023
✔ NPI 1801131230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in TX · 737658
3600 GASTON AVE, Dallas, TX 75246
Open in Google Maps ↗

Secondary Practice Location 1

Location 14545 Fuller Dr Ste 325Irving, TX 75038-6530 · Phone (972) 870-5511

Other Identifiers 1

Medicaid315359501TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Valerie Ann Douglas Msn-anp 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 ID5496908535
PECOS Enrollment IDI20130123000447
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.

Areas of Expertise CMS Part B claims 10

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.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
279 services112 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
230 services104 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
78 services36 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
41 services34 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
28 services28 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75246 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers12 claims12 services$43.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. MAMTA GUPTA MD
Internal Medicine
3600 GASTON AVE, SUITE 550
DALLAS, TX 75246
Dallas County (214) 821-8867
DR. ARIEL MARCELO MODRYKAMIEN M.D.
Internal Medicine (Pulmonary Disease)
3600 GASTON AVE, WADLEY TOWER, SUITE 960
DALLAS, TX 75246
Dallas County (402) 972-6078
SUSAN C. CHESIRE ANP
Nurse Practitioner (Adult Health)
3600 GASTON AVE, WADLEY TOWER, SUITE 651
DALLAS, TX 75246
Dallas County (214) 820-9115
DR. SADAT ANWAR SHAMIM M.D.
Psychiatry & Neurology (Neurology)
3600 GASTON AVE, SUITE 1155
DALLAS, TX 75246
Dallas County (214) 820-4688
KIMBER LEE FOUST MD
Internal Medicine (Critical Care Medicine)
3600 GASTON AVE, WADLEY TOWER STE 960
DALLAS, TX 75246
Dallas County (214) 820-5630
TEXAS SAM HOLDINGS, LLC
Clinic/Center (Sleep Disorder Diagnostic)
3600 GASTON AVE, SUITE 1055
DALLAS, TX 75246
Dallas County (214) 827-0330
DR. CARLOS E VELASCO MD
Internal Medicine (Interventional Cardiology)
3600 GASTON AVE, SUITE 851
DALLAS, TX 75246
Dallas County (214) 826-6044
ROBERT LOUIS KOSTER M.D.
Internal Medicine
3600 GASTON AVE, SUITE 703
DALLAS, TX 75246
Dallas County (214) 823-4200

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 Valerie Douglas's NPI number?

The NPI number for Valerie Douglas is 1801131230. It was assigned to this individual provider in the NPPES registry on December 12, 2012.

Where is Valerie Douglas located?

Valerie Douglas practices at 3600 Gaston Ave #651 - Wadley, Dallas, TX 75246. The listed phone number is (214) 820-9115.

What is Valerie Douglas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Valerie Douglas enrolled in Medicare?

Yes. Valerie 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.

What insurance does Valerie Douglas accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers list Valerie 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.

When was this NPI record last updated?

The NPPES record for Valerie Douglas was last updated on July 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.