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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: October 25, 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 Sunflower Health Plan, Ambetter Health 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 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.

Medicare Billing Reassignments

2

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

Citizens Memorial Healthcare
41 mi
Surgery
1500 N OAKLAND AVE
Bolivar, MO 65613
  • Reassigned Medicare billing, Missouri enrollment
  • 249 clinicians in this Medicare group
NPI 1568566131 (417) 326-6000
Aegis Health Services LLC
715 mi
Family Medicine
2220 SUPERIOR VIA
Cleveland, OH 44113
  • Reassigned Medicare billing, Missouri enrollment
  • 3 clinicians in this Medicare group
NPI 1184257123 (888) 276-0207

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

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 6

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

JACLYN WINDHAM FNP-C
Nurse Practitioner (Family)
108 S HICKORY ST
MOUNT VERNON, MO 65712
Lawrence County (417) 466-4110
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.

Which organizations bill Medicare for Thomas Douglas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Douglas reassigns Medicare benefits to 2 organizations: Citizens Memorial Healthcare (Bolivar, MO) and Aegis Health Services LLC (Cleveland, OH). 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 Thomas Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Douglas accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 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.