MR. NELSON PARKS DOUGLASS MD
NPI 1912585357
Psychiatry & Neurology - Epilepsy
in Murray, UT
About Mr. Nelson Parks Douglass Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. NELSON PARKS DOUGLASS MD (NPI 1912585357) is an individual epilepsy provider in Murray, Utah, licensed in Utah (14206306-1205) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Mckay-dee Hospital, and is a graduate of University Of Mississippi School Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses 2
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
Mr. Nelson Parks Douglass 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.
Medicare Billing Reassignments
2Medicare enrollment records show Nelson Douglass reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Murray, UT 84107
- Reassigned Medicare billing, Utah enrollment
- 3,691 clinicians in this Medicare group
Salt Lake City, UT 84132
- Reassigned Medicare billing, Utah enrollment
- 2,620 clinicians in this Medicare group
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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mckay-Dee Hospital
Acute Care Hospitals · Ogden, UTUniversity Of Utah Hospitals And Clinics
Acute Care Hospitals · Salt Lake City, UTIntermountain Medical Center
Acute Care Hospitals · Murray, UTOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MURRAY, UT 84107
SALT LAKE CITY, UT 84107
MURRAY, UT 84107
MURRAY, UT 84107
MURRAY, UT 84107
SALT LAKE CITY, UT 84107
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 Nelson Douglass's NPI number?
The NPI number for Nelson Douglass is 1912585357. It was assigned to this individual provider in the NPPES registry on March 29, 2021.
Where is Nelson Douglass located?
Nelson Douglass practices at 5171 S Cottonwood St Ste 810, Murray, UT 84107. The listed phone number is (801) 507-9800.
What is Nelson Douglass's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Epilepsy, with taxonomy code 2084E0001X.
Is Nelson Douglass enrolled in Medicare?
Yes. Nelson Douglass 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 Nelson Douglass's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nelson Douglass reassigns Medicare benefits to 2 organizations: Ihc Health Services Inc (Murray, UT) and University Of Utah Adult Services (Salt Lake City, UT). 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 Nelson Douglass's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Nelson Douglass affiliated with any hospitals?
According to CMS data, Nelson Douglass is affiliated with Mckay-Dee Hospital, University Of Utah Hospitals And Clinics and Intermountain Medical Center.
When was this NPI record last updated?
The NPPES record for Nelson Douglass was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.
# Mr. Nelson Parks Douglass, MD · NPI 1912585357
Epilepsy physician in Murray, Utah. Individual provider, active in the CMS NPPES registry since March 29, 2021.
## Identity
- **NPI:** 1912585357 (Entity type: Individual)
- **Enumerated:** March 29, 2021
- **Primary specialty:** Psychiatry & Neurology - Epilepsy · taxonomy 2084E0001X
- **State license:** 14206306-1205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 5171 S COTTONWOOD ST STE 810, Murray, UT 84107-5705
- **Phone:** (801) 507-9800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ihc Health Services Inc (NPI 1831476308, Murray, UT); University Of Utah Adult Services (NPI 1578967345, Salt Lake City, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Mississippi School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** September 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1912585357) · Data from the CMS NPPES public registry.