ELAINE DOUGLAS – Family Nurse Practitioner, NPI 1326759580

ELAINE DOUGLAS is a healthcare provider. based in Marquette, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 4704349196 (MI). The NPI Number for ELAINE DOUGLAS is 1326759580

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
ELAINE DOUGLAS
NPI
1326759580
Phone
(906) 226-2233
Address
2382 US 41
Enumeration Date
8 December 2022
Last Update Date
26 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9064852687
Graduation Year
2023 (3 years ago)
PAC ID
9638534803
Group Practice PAC ID
4981833654
Professional Enrollment ID
I20230424002151
Address ID
MI498491367IS901XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:3State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for ELAINE DOUGLAS

  • 2382 US 41

    Marquette, MI 49855

    Phone: (906) 226-2233

    Type: Location

  • 901 LAKESHORE DR

    ISHPEMING, MI 498491367

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-04-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230424002151INurse PractitionerMITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2314$0
View full utilization report →

Insurance plans in this area (ZIP 49855)

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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: 4981833654View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerWY
-MI
O B S T E T R I C S/ G Y N E C O L O G YMI
-MI
Physician AssistantMI
-MI
-MI
Nurse PractitionerSC
O B S T E T R I C S/ G Y N E C O L O G YRI

Reviews

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Frequently asked questions

How do I look up ELAINE DOUGLAS by NPI?
Use NPI 1326759580 when you need to reference ELAINE DOUGLAS in forms, claims, or directories.
Is ELAINE DOUGLAS active in the national directory?
ELAINE DOUGLAS's public NPI profile is in an active state.
Does ELAINE DOUGLAS list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for ELAINE DOUGLAS. Clinical services aligned with this taxonomy classification.
What location metadata exists for ELAINE DOUGLAS?
The page summarizes Marquette, Michigan for ELAINE DOUGLAS; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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