JENNIFER A DOUGLAS MD
NPI 1861479792
Family Medicine in Delmont, PA

Q: What is Jennifer Douglas's NPI number?

The NPI number for Jennifer Douglas is 1861479792. It was assigned to this individual provider in the NPPES registry on December 30, 2005. The provider is also known as Jennifer A Shaulis MD.

Q: What is Jennifer Douglas's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Douglas was last updated on November 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since December 30, 2005PECOS EnrolledAccepts Medicare Assignment

6521 ROUTE 22, DELMONT, PA 15626(724) 468-8764(724) 468-8785 Get Directions Write a Review

NPPES record last updated: November 25, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jennifer A Douglas Md NPPES

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

JENNIFER A DOUGLAS MD (NPI 1861479792) is an individual family medicine provider in Delmont, Pennsylvania, licensed in Pennsylvania (MD422567) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Clarion Hospital, and is a graduate of University Of Pittsburgh School Of Medicine (2001).

NPPES Registry Identity

NPI1861479792

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJENNIFER A DOUGLASCredential: MD

Location Address6521 ROUTE 22Delmont, PA 15626-2402

Mailing Address6521 Route 22Delmont, PA 15626-2402 · (724) 468-8764 · Fax (724) 468-8785

Phone(724) 468-8764

Fax(724) 468-8785

Sole ProprietorNo

Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2001

Enumeration DateDecember 30, 2005

Last NPPES UpdateNovember 25, 2013

✔ NPI 1861479792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · MD422567

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedHospitalistTaxonomy 208M00000X · License MD422567 (PA)

6521 ROUTE 22, Delmont, PA 15626

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Other Names 1

Former Name (1)Jennifer A Shaulis Md

Other Identifiers 3

Medicaid1013584800003PA

Medicare PIN083588PA

Medicare UPINI16831PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Jennifer A Douglas Md 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 ID1557330008

PECOS Enrollment IDI20040930000726

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

106 services53 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

86 services52 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

45 services45 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Clarion Hospital

Acute Care Hospitals · Clarion, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number390093

LocationOne Hospital DriveClarion, PA 16214 · Clarion County

Emergency services

Excela Health Westmoreland Regional Hospital

Acute Care Hospitals · Greensburg, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390145

Location532 West Pittsburgh StreetGreensburg, PA 15601 · Westmoreland County

Emergency services Birthing friendly

Excela Health - Frick Hospital

Acute Care Hospitals · Mount Pleasant, PA

OwnershipVoluntary non-profit - Other

CMS Certification Number390217

Location508 South Church StreetMount Pleasant, PA 15666 · Westmoreland County

Emergency services

Excela Health Latrobe Hospital

Acute Care Hospitals · Latrobe, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390219

LocationOne Mellon WayLatrobe, PA 15650 · Westmoreland County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15626 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers48 claims48 services$65.08 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

3 suppliers23 claims23 services$30.34 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 5

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

RACHELLE LYNN JOHNS M.D.

Internal Medicine (Gastroenterology)