SARA DOUGLAS (NP) – Nurse Practitioner, NPI 1639154016
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,529 NURSE PRACTITIONER in IA
Provider Addresses for SARA DOUGLAS (NP)
2055 Kimball Ave
Suite 101
Waterloo, IA 507025047
Phone: (319) 272-2112
Fax: (319) 272-2107
Type: Location
Bluebell Road, Cedar Falls, Black Hawk County, Iowa, 50613, United States
CEDAR FALLS, IA 506136328
Phone: (319) 575-5800
Fax: (319) 575-5855
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $209.
Total Amount is formed as General ($209) + Research ($0) + Ownership ($0) = $209.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($83).
Total Amount
$209
General + Research + Ownership
Payments
7
Total payment records
General Amount
$209
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $83 |
| Abbott Laboratories | $40 |
| Lilly USA, LLC | $30 |
| Astellas Pharma US Inc | $26 |
| Novo Nordisk Inc | $16 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-10-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071017000264 | I | Nurse Practitioner | IA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 200 | 116 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 171 | 119 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 77 | 77 | $0 |
| 93793 | Anticoagulant management of patient taking warfarin | 63 | 11 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 60 | 60 | $0 |
Insurance plans in this area (ZIP 50702)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IA | |
| Gastroenterology, Internal Medicine | IA | |
| Nurse Practitioner | IA | |
| - | IA | |
| Nurse Practitioner | IA | |
| Physician Assistant | IA | |
| - | IN | |
| Orthopedic Surgery | IA | |
| Family Practice | IA | |
| Family Practice | IA |
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