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THOMAS G DOUGLAS NP
NPI 1851686182
Nurse Practitioner - Family in Mount Vernon, MO

Active since June 15, 2011PECOS EnrolledAccepts Medicare Assignment
108 S HICKORY ST, MOUNT VERNON, MO 65712(417) 466-4110(417) 466-4255 Get Directions Write a Review

NPPES record last updated: June 15, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thomas G Douglas Np NPPES

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

THOMAS G DOUGLAS NP (NPI 1851686182) is an individual family provider in Mount Vernon, Missouri, licensed in Missouri (2011016629) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Citizens Memorial Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1851686182
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTHOMAS G DOUGLASCredential: NP
Location Address108 S HICKORY STMount Vernon, MO 65712-1407
Mailing Address2828 N National AveSpringfield, MO 65803-4306 · (417) 837-4000 · Fax (417) 875-4710
Phone(417) 466-4110
Fax(417) 466-4255
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 15, 2011
✔ NPI 1851686182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 2011016629
108 S HICKORY ST, Mount Vernon, MO 65712
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Thomas G Douglas Np 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 ID446428668
PECOS Enrollment IDI20110714000098
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.

Hospital Affiliations CMS Care Compare

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

Citizens Memorial Hospital

Acute Care Hospitals · Bolivar, MO
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number260195
Location1500 N OaklandBolivar, MO 65613 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65712 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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 5

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

WILLIAM LEWIS MCKAY DO
Family Medicine
108 S HICKORY ST
MOUNT VERNON, MO 65712
Lawrence County (417) 466-4110
TERESA BARR JOLLEY PA-C
Physician Assistant
108 S HICKORY ST
MOUNT VERNON, MO 65712
Lawrence County (417) 466-4110
SGOH ACQUISITION INC
Clinic/Center (Rural Health)
108 S HICKORY ST
MOUNT VERNON, MO 65712
Lawrence County (417) 466-4110
MALINDA K KENDRICK FNP
Nurse Practitioner (Family)
108 S HICKORY ST
MOUNT VERNON, MO 65712
Lawrence County (417) 466-4110
AMANDA J CHAPMAN MSN-NP
Nurse Practitioner (Family)
108 S HICKORY ST
MOUNT VERNON, MO 65712
Lawrence County (417) 466-4110

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 Thomas Douglas's NPI number?

The NPI number for Thomas Douglas is 1851686182. It was assigned to this individual provider in the NPPES registry on June 15, 2011.

Where is Thomas Douglas located?

Thomas Douglas practices at 108 S Hickory St, Mount Vernon, MO 65712. The listed phone number is (417) 466-4110.

What is Thomas Douglas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Thomas Douglas enrolled in Medicare?

Yes. Thomas 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 Thomas Douglas accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Thomas 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.

Is Thomas Douglas affiliated with any hospitals?

According to CMS data, Thomas Douglas is affiliated with Citizens Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Douglas was last updated on June 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.