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KELLI LYNN DOUVILLE LP
NPI 1831028232
Psychologist - Clinical in Madison, WI

Active since May 14, 2026PECOS Enrolled
1001 FOURIER DR STE 200, MADISON, WI 53717(608) 740-2001 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelli Lynn Douville Lp NPPES

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

KELLI LYNN DOUVILLE LP (NPI 1831028232) is an individual clinical provider in Madison, Wisconsin, licensed in Wisconsin (3020-57) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1831028232
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKELLI LYNN DOUVILLECredential: LP
Location Address1001 FOURIER DR STE 200Madison, WI 53717-1958
Mailing Address1900 Silver Lake Rd Nw Ste 110New Brighton, MN 55112-1789 · (651) 628-9566 · Fax (651) 628-0411
Phone(608) 740-2001
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMay 14, 2026
Last NPPES UpdateJune 9, 2026
NPPES CertifiedJune 9, 2026
✔ NPI 1831028232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in WI · 3020-57
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1001 FOURIER DR STE 200, Madison, WI 53717
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Quartz and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelli Lynn Douville Lp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779057237
PECOS Enrollment IDI20260706003421
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 Kelli Douville reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nystrom & Associates Counseling Wi., S.C.
101 mi
Mental Health (Including Community Mental Health Center)
201 MAIN ST STE 500
La Crosse, WI 54601
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Nystrom & Associates Counseling Wi Sc
  • 133 clinicians in this Medicare group
NPI 1659977866 (651) 379-1750

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 53717 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 19

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

JENNY ESTHER CLARK MSW, LCSW
Social Worker (Clinical)
1001 FOURIER DR STE 200
MADISON, WI 53717
Dane County (608) 740-2001
EMILY TRUMAN
Counselor (Professional)
1001 FOURIER DR STE 200
MADISON, WI 53717
Dane County (608) 740-2001
KRISTIN HARTUNG
Marriage & Family Therapist
1001 FOURIER DR STE 200
MADISON, WI 53717
Dane County (608) 740-2001
ABBY ELIZABETH LEMKE
Counselor (Mental Health)
1001 FOURIER DR STE 200
MADISON, WI 53717
Dane County (608) 740-2001
ADRIAN SHERRICK LPC-IT
Counselor (Professional)
1001 FOURIER DR STE 200
MADISON, WI 53717
Dane County (608) 740-2001
AMY LYNN KURITZ APNP
Nurse Practitioner (Psychiatric/Mental Health)
1001 FOURIER DR STE 200
MADISON, WI 53717
Dane County (608) 740-2001
SIDNEY DOMBROWSKI MA, MFT-IT
Marriage & Family Therapist
1001 FOURIER DR STE 200
MADISON, WI 53717
Dane County (608) 740-2001
KELSEY DILLON M.S.
Counselor
1001 FOURIER DR STE 200
MADISON, WI 53717
Dane County (608) 740-2001

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 Kelli Douville's NPI number?

The NPI number for Kelli Douville is 1831028232. It was assigned to this individual provider in the NPPES registry on May 14, 2026.

Where is Kelli Douville located?

Kelli Douville practices at 1001 Fourier Dr Ste 200, Madison, WI 53717. The listed phone number is (608) 740-2001.

What is Kelli Douville's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kelli Douville enrolled in Medicare?

Yes. Kelli Douville is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelli Douville's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Douville reassigns Medicare benefits to Nystrom & Associates Counseling Wi., S.C. (La Crosse, WI). 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 Kelli Douville's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelli Douville accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Quartz, Security Health Plan and UnitedHealthcare list Kelli Douville 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 Kelli Douville was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.