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DANIELLE DOUCET
NPI 1891337945
Nurse Practitioner - Family in Austin, TX

Active since October 10, 2019PECOS EnrolledAccepts Medicare Assignment
72.52/100
CMS Quality Rating
911 W 38TH ST STE 202, AUSTIN, TX 78705(512) 324-8670 Get Directions Write a Review

NPPES record last updated: February 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 15, 2021, Oct 10, 2019 (2 updates tracked since 2019).

About Danielle Doucet NPPES

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

DANIELLE DOUCET (NPI 1891337945) is an individual family provider in Austin, Texas, licensed in Texas (AP143342) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1891337945
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDANIELLE DOUCET
Location Address911 W 38TH ST STE 202Austin, TX 78705-1107
Mailing Address911 W 38th St Ste 202Austin, TX 78705-1107
Phone(512) 324-8670
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 10, 2019
Last NPPES UpdateFebruary 15, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2021
✔ NPI 1891337945 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 TX · AP143342
911 W 38TH ST STE 202, Austin, TX 78705
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit.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

Danielle Doucet 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 ID345674354
PECOS Enrollment IDI20191230000625
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

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78705 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

72.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.27
Promoting Interoperability100
Improvement Activities40
Cost47.12

Reported Quality Measures

Breast Cancer Screening
89%119 patients4/55-star benchmark: 93%
Cervical Cancer Screening
95%679 patients4/55-star benchmark: 98%
Chlamydia Screening for Women
36%148 patients
Closing the Referral Loop: Receipt of Specialist Report
32%114 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
69%209 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
48%40 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
16%32 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
38%32 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
94%981 patients4/55-star benchmark: 100%
e-Prescribing
99%503 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
11%28 patients1/55-star benchmark: 100%
HIV Screening
61%781 patients5/55-star benchmark: 60%
One-Time Screening for Hepatitis C Virus (HCV) for all Patients
55%508 patients3/55-star benchmark: 98%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
42%586 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
16%634 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
46%865 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 91% · 766 patients
Patients screened: 94% · 766 patients
31%35 patients2/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 24% · 508 patients
21%508 patients
Provide Patients Electronic Access to Their Health Information
99%444 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
48%48 patients1/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 29 patients
Patients totalRate: 14% · 29 patients
14%29 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

MRS. LAUREN VICTORIA POKALA APRN, MSN, FNP-BC
Nurse Practitioner (Family)
911 W 38TH ST STE 202
AUSTIN, TX 78705
Travis County (512) 324-8670
MARY MICAELA RIEGER M.D.
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
911 W 38TH ST STE 202
AUSTIN, TX 78705
Travis County (512) 324-8670
KIMBERLY CARTER M.D.
Obstetrics & Gynecology
911 W 38TH ST STE 202
AUSTIN, TX 78705
Travis County (512) 324-8670

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 Danielle Doucet's NPI number?

The NPI number for Danielle Doucet is 1891337945. It was assigned to this individual provider in the NPPES registry on October 10, 2019.

Where is Danielle Doucet located?

Danielle Doucet practices at 911 W 38th St Ste 202, Austin, TX 78705. The listed phone number is (512) 324-8670.

What is Danielle Doucet's specialty?

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

Is Danielle Doucet enrolled in Medicare?

Yes. Danielle Doucet 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 Danielle Doucet accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Danielle Doucet 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 Danielle Doucet was last updated on February 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.