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DOUG WINTERS NP
NPI 1972210359
Nurse Practitioner - Family in New Tazewell, TN

Active since November 03, 2022PECOS EnrolledAccepts Medicare Assignment
402 S BROAD ST, NEW TAZEWELL, TN 37825(423) 919-8244(423) 919-8245 Get Directions Write a Review

NPPES record last updated: November 3, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Doug Winters Np NPPES

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

DOUG WINTERS NP (NPI 1972210359) is an individual family provider in New Tazewell, Tennessee, licensed in Tennessee (32325) and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS, is affiliated with Claiborne Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1972210359
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDOUG WINTERSCredential: NP
Location Address402 S BROAD STNew Tazewell, TN 37825-7239
Mailing Address402 S Broad StNew Tazewell, TN 37825-7239 · (423) 919-8244 · Fax (423) 919-8245
Phone(423) 919-8244
Fax(423) 919-8245
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 3, 2022
NPPES CertifiedNovember 3, 2022
✔ NPI 1972210359 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 TN · 32325
402 S BROAD ST, New Tazewell, TN 37825
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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 Magnolia Health 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

Doug Winters 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 ID7911374426
PECOS Enrollment IDI20221111001807
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.

Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
58 services28 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
30 services28 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
29 services28 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
14 services12 patients

Hospital Affiliations CMS Care Compare

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

Claiborne Medical Center

Acute Care Hospitals · Tazewell, TN
OwnershipGovernment - Local
CMS Certification Number440057
Location1850 Old Knoxville HighwayTazewell, TN 37879 · Claiborne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37825 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 3

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

KARLA MADRIGAL GRAY PA-C
Physician Assistant
402 S BROAD ST
NEW TAZEWELL, TN 37825
Claiborne County (423) 919-8244
FAST PACE MEDICAL CLINIC PLLC
Clinic/Center (Rural Health)
402 S BROAD ST
NEW TAZEWELL, TN 37825
Claiborne County (423) 919-8244
FAST PACE MEDICAL CLINIC PLLC
Clinic/Center (Urgent Care)
402 S BROAD ST
NEW TAZEWELL, TN 37825
Claiborne County (423) 919-8244

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 Doug Winters's NPI number?

The NPI number for Doug Winters is 1972210359. It was assigned to this individual provider in the NPPES registry on November 3, 2022.

Where is Doug Winters located?

Doug Winters practices at 402 S Broad St, New Tazewell, TN 37825. The listed phone number is (423) 919-8244.

What is Doug Winters's specialty?

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

Is Doug Winters enrolled in Medicare?

Yes. Doug Winters 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 Doug Winters accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Doug Winters 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 Doug Winters affiliated with any hospitals?

According to CMS data, Doug Winters is affiliated with Claiborne Medical Center.

When was this NPI record last updated?

The NPPES record for Doug Winters was last updated on November 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.