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KRISTEN LEIGH DOUGLASS PA-C
NPI 1982004040
Physician Assistant in Lewisburg, PA

Active since August 26, 2014PECOS EnrolledAccepts Medicare Assignment
120 HAMM DR, LEWISBURG, PA 17837(570) 522-9430 Get Directions Write a Review

NPPES record last updated: December 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 21, 2020, Jul 26, 2019, Jan 27, 2016 (3 updates tracked since 2016).

About Kristen Leigh Douglass Pa-c NPPES

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

KRISTEN LEIGH DOUGLASS PA-C (NPI 1982004040) is an individual physician assistant in Lewisburg, Pennsylvania, licensed in Pennsylvania (MA057102) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Williamsport, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1982004040
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKRISTEN LEIGH DOUGLASSCredential: PA-C
Location Address120 HAMM DRLewisburg, PA 17837-7496
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144 · Fax (570) 271-6578
Phone(570) 522-9430
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 26, 2014
Last NPPES UpdateDecember 21, 20203 updates tracked since enumeration
NPPES CertifiedDecember 21, 2020
✔ NPI 1982004040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in PA · MA057102✔ Licensed in PA · OA003416
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
120 HAMM DR, Lewisburg, PA 17837
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Secondary Practice Location 1

Location 11205 River Ave Fl 1Williamsport, PA 17701-3724 · Phone (570) 323-5991 · Fax (570) 323-6578

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

Kristen Leigh Douglass Pa-c 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 ID1850511908
PECOS Enrollment IDI20141013001406
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17837 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
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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 9

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

TRISTAN ASSOCIATES
Radiology (Diagnostic Radiology)
120 HAMM DR
LEWISBURG, PA 17837
Union County (570) 522-9300
MEGAN ZIEBER MS, MPH
Genetic Counselor, MS
120 HAMM DR
LEWISBURG, PA 17837
Union County (570) 714-6429
MS. MARISSA WEYER MITCHEL M.S., CCC-SLP
Speech-Language Pathologist
120 HAMM DR, SUITE 2A
LEWISBURG, PA 17837
Union County (570) 522-9420
DONNA MARIE WELSH LPC
Counselor (Professional)
120 HAMM DR
LEWISBURG, PA 17837
Union County (570) 522-9430
RACHEL HESSERT M.ED.
Psychologist
120 HAMM DR
LEWISBURG, PA 17837
Union County (570) 271-6211
ABIGAIL PORTZLINE PA-C
Physician Assistant
120 HAMM DR
LEWISBURG, PA 17837
Union County (570) 522-9430
GEISINGER MEDICAL CENTER
Clinic/Center
120 HAMM DR
LEWISBURG, PA 17837
Union County (570) 271-5555
KAREN WAIN MS, CGC
Genetic Counselor, MS
120 HAMM DR
LEWISBURG, PA 17837
Union County (570) 522-9432

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 Kristen Douglass's NPI number?

The NPI number for Kristen Douglass is 1982004040. It was assigned to this individual provider in the NPPES registry on August 26, 2014.

Where is Kristen Douglass located?

Kristen Douglass practices at 120 Hamm Dr, Lewisburg, PA 17837. The listed phone number is (570) 522-9430.

What is Kristen Douglass's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kristen Douglass enrolled in Medicare?

Yes. Kristen 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.

When was this NPI record last updated?

The NPPES record for Kristen Douglass was last updated on December 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.