MRS. ANA ELISABETA DOUGLAS (FNP) – Family Nurse Practitioner, NPI 1114020997

MRS. ANA ELISABETA DOUGLAS (FNP) is a healthcare provider. based in Minneapolis, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. AP2523 (AZ). The NPI Number for MRS. ANA ELISABETA DOUGLAS (FNP) is 1114020997

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ANA ELISABETA DOUGLAS (FNP)
NPI
1114020997
Phone
Not provided
Address
920 2ND AVE S
Enumeration Date
6 September 2006
Last Update Date
29 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7073038359
Graduation Year
2006 (20 years ago)
PAC ID
6709989528
Group Practice PAC ID
8921993205
Professional Enrollment ID
I20131216001796
Address ID
CA954054559SA500XXDRXX407

Contacts

Secure Messaging
urgentcareqvmc@sjhhandhmg.allscriptsdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

16,360 NURSE PRACTITIONER in CA

Loading map...

Provider Addresses for MRS. ANA ELISABETA DOUGLAS (FNP)

  • Paul Baertschi Attorney, 920, 2nd Avenue South, Minneapolis, Hennepin County, Minnesota, 55402, United States

    SUITE 400

    MINNEAPOLIS, MN 554023318

    Phone:

    Type: Mailing

  • 1621, West Imola Avenue, Imola, Napa, Napa County, California, 94559, United States

    NAPA, CA 945594721

    Phone: (707) 358-6781

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2013-12-16

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
I20131216001796INurse PractitionerCATBD

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 minutes9290$0
99214Established patient office or other outpatient visit, 30-39 minutes6463$0
99203New patient office or other outpatient visit, 30-44 minutes2121$0
99202New patient office or other outpatient visit, 15-29 minutes1919$0
71046X-ray of chest, 2 views1818$0
View full utilization report →

Insurance plans in this area (ZIP 55402)

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: 8921993205View full group profile

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 identifier follows MRS. ANA ELISABETA DOUGLAS (FNP) across health systems?
The NPI 1114020997 uniquely identifies MRS. ANA ELISABETA DOUGLAS (FNP) in U.S. healthcare data.
Does the public listing show MRS. ANA ELISABETA DOUGLAS (FNP) as active?
MRS. ANA ELISABETA DOUGLAS (FNP)'s NPI record reflects an active status in NPPES.
What does the directory say MRS. ANA ELISABETA DOUGLAS (FNP) does?
Insurance directories may phrase it differently, but here MRS. ANA ELISABETA DOUGLAS (FNP) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. ANA ELISABETA DOUGLAS (FNP) tied to Minneapolis, Minnesota?
If you are local to Minneapolis, Minnesota, MRS. ANA ELISABETA DOUGLAS (FNP) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

Similar Providers

VA Medical Center, 1, Veterans Drive, Minneapolis, Hennepin County, Minnesota, 55417, United States
NPI: 1023012762

DR. SARA L. HUBBELL (NP)

Psychiatric/Mental Health Nurse Practitioner
615 SHIPYARD BLVD STE 400
NPI: 1538166566

MR. JAMES CALLISON (CFNP)

Family Nurse Practitioner
Peachtree Dunwoody Road, Atlanta, Georgia, 30326, United States
NPI: 1891794624

JANE K ANDERSON (CNP)

Family Nurse Practitioner
814, South 3rd Street, Minneapolis, Hennepin County, Minnesota, 55415, United States
NPI: 1780683722

JUDITH KAY WIGHTMAN (ARNP)

Nurse Practitioner
Union Plaza, 333, Washington Avenue North, Minneapolis, Hennepin County, Minnesota, 55401, United States
NPI: 1316946353

JOANNE RUTH MARSH (CNP)

Family Nurse Practitioner
530 DeMoss Street
NPI: 1285636712

MICHELE L MCKAY (APRN-BC)

Family Nurse Practitioner
Union Plaza, 333, Washington Avenue North, Minneapolis, Hennepin County, Minnesota, 55401, United States
NPI: 1245223692

GWENDOLYN MARTINIQUE KOSEVICH (MSN)

Family Nurse Practitioner
8170 33RD AVE S # MS 21110Q
NPI: 1013901875