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KATHLEEN M DOUGLASS CRNA
NPI 1811394489
Nurse Anesthetist, Certified Registered in Hermitage, PA

Active since November 26, 2014
3055 INNOVATION WAY, HERMITAGE, PA 16148(814) 333-5438(814) 333-5439 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 31, 2026, Jan 25, 2016 (2 updates tracked since 2016).

About Kathleen M Douglass Crna NPPES

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

KATHLEEN M DOUGLASS CRNA (NPI 1811394489) is an individual nurse anesthetist, certified registered in Hermitage, Pennsylvania, licensed in Pennsylvania (RN610072) and active in the NPI registry since November 2014. She maintains a secondary practice location in Sharon.

NPPES Registry Identity

NPI1811394489
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKATHLEEN M DOUGLASSCredential: CRNA
Location Address3055 INNOVATION WAYHermitage, PA 16148-7905
Mailing Address1034 Grove StMeadville, PA 16335-2945 · (814) 333-5438 · Fax (814) 333-5439
Phone(814) 333-5438
Fax(814) 333-5439
Sole ProprietorNo
Enumeration DateNovember 26, 2014
Last NPPES UpdateJuly 31, 20262 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
✔ NPI 1811394489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in PA · RN610072
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
3055 INNOVATION WAY, Hermitage, PA 16148
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Secondary Practice Location 1

Location 1740 E State StSharon, PA 16146-3328 · Phone (724) 983-7310 · Fax (724) 983-2797

Other Identifiers 1

OtherPENDINGPA · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen M Douglass Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Meadville Medical Center
33 mi
Multi-Specialty
751 LIBERTY ST
Meadville, PA 16335
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 48 clinicians in this Medicare group
NPI 1629633573 (814) 333-5081

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 5

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

MEADVILLE MEDICAL CENTER
General Acute Care Hospital
3055 INNOVATION WAY
HERMITAGE, PA 16148
Mercer County (814) 333-5438
PAIN, SPINE, AESTHETIC AND WELLNESS CENTER, PC
Clinic/Center (Ambulatory Surgical)
3055 INNOVATION WAY
HERMITAGE, PA 16148
Mercer County (724) 308-7401
KATHY K CRIVELLI D.O.
Anesthesiology
3055 INNOVATION WAY
HERMITAGE, PA 16148
Mercer County (814) 333-5438
DR. FREDERICK GOTTLIEB KURZ MD
Anesthesiology
3055 INNOVATION WAY
HERMITAGE, PA 16148
Mercer County (814) 333-5438
GRAY GONCZ DO
Anesthesiology
3055 INNOVATION WAY
HERMITAGE, PA 16148
Mercer County (814) 333-5438

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 Kathleen Douglass's NPI number?

The NPI number for Kathleen Douglass is 1811394489. It was assigned to this individual provider in the NPPES registry on November 26, 2014.

Where is Kathleen Douglass located?

Kathleen Douglass practices at 3055 Innovation Way, Hermitage, PA 16148. The listed phone number is (814) 333-5438.

What is Kathleen Douglass's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Kathleen Douglass enrolled in Medicare?

Yes. Kathleen Douglass is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathleen Douglass's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Douglass reassigns Medicare benefits to Meadville Medical Center (Meadville, PA). 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 Kathleen Douglass's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen Douglass accept?

Health plans from CareSource list Kathleen Douglass 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 Kathleen Douglass was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.