MS. GWENETH M DOUGLAS (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1083172811

Psychiatric/Mental Health Nurse Practitioner

MS. GWENETH M DOUGLAS (APRN) is a healthcare provider. based in Hartford, Connecticut. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold the professional credentials APRN. They hold a License No. 7942 (CT). The NPI Number for MS. GWENETH M DOUGLAS (APRN) is 1083172811

Main info

Female

14 Years Of Experience

Accepts Medicare Assignment

Name

MS. GWENETH M DOUGLAS (APRN)

NPI

1083172811

Phone

(860) 714-8275

Address

675 TOWER AVE STE 301

Enumeration Date

11 March 2019

Last Update Date

30 June 2020

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8607149030

Graduation Year

2012 (14 years ago)

PAC ID

9032442520

Group Practice PAC ID

1355321597

Professional Enrollment ID

I20190617000714

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience43

Completeness75

Years active:7State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for MS. GWENETH M DOUGLAS (APRN)

301, Tower Avenue, Northeast, Hartford, Hartford County, Connecticut, 06120, United States
HARTFORD, CT 061121274
Phone: (860) 714-8275
Fax: (860) 714-8591
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $84.

Total Amount is formed as General ($84) + Research ($0) + Ownership ($0) = $84.

Last reported payment date: 2023-09-14 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($84).

Total Amount

$84

General + Research + Ownership

Payments

Total payment records

General Amount

$84

General payments

Research Amount

Research funding

Ownership Amount

Ownership interests

Ownership Count

Ownership records

Last Payment Date

2023-09-14

Latest reported date

Top Companies

Largest payers in this snapshot

Company	Amount
Otsuka America Pharmaceutical, Inc.	$84

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06112)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 1355321597View full group profile

Name	Specialty	State
ANITA CHU (MD)	-	CA
LAWRENCE DASKAL (LCSW)	-	CT
MS. CHRISTINA KARL STOLOFF (LCSW)	-	CT
DR. FREDO J CLERMONT (DNP, APRN)	Nurse Practitioner	CT
DENISE E ABBATE (APRN)	-	CT
MICHELLE A BRISMAN (PH.D.)	-	CT
DR. LAWRENCE J PEACOCK (M.D.)	-	CT
MARINA S.L. COLOMBO (M.D.)	-	CT

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for MS. GWENETH M DOUGLAS (APRN)?

The registry entry for MS. GWENETH M DOUGLAS (APRN) shows NPI 1083172811.

Is MS. GWENETH M DOUGLAS (APRN) currently accepting referrals based on NPI status?

Registry metadata lists MS. GWENETH M DOUGLAS (APRN) as active.

What type of care does MS. GWENETH M DOUGLAS (APRN) provide?

MS. GWENETH M DOUGLAS (APRN)'s profile centers on Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.

What geographic area is tied to MS. GWENETH M DOUGLAS (APRN)?

MS. GWENETH M DOUGLAS (APRN) is associated with Hartford, Connecticut in the same public data insurers reference.

Can I verify credentials using only NPI?

NPI confirms identity in the directory; licensure and board certification require separate checks.