MRS. DIANNA FORREST DOUGLASS (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1043679079
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,566 NURSE PRACTITIONER in MS
Provider Addresses for MRS. DIANNA FORREST DOUGLASS (PMHNP)
1203 Medical Park Dr
Oxford, MS 386555327
Phone: (662) 234-7601
Type: Location
58 COUNTY ROAD 373
WATER VALLEY, MS 389653740
Phone: (662) 202-4705
Type: Mailing
Oxford 152, 152, Oxford Street, Bulimba, Brisbane City, Queensland, 4171, Australia
OXFORD, MS 386555392
Phone: (662) 234-7521
Fax: (662) 236-3071
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 46 Open Payments records for all available years, with a total value of $843.
Total Amount is formed as General ($843) + Research ($0) + Ownership ($0) = $843.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($212).
Total Amount
$843
General + Research + Ownership
Payments
46
Total payment records
General Amount
$843
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $212 |
| ABBVIE INC. | $148 |
| ITI, Inc. | $74 |
| Supernus Pharmaceuticals, Inc. | $70 |
| Axsome Therapeutics, Inc. | $55 |
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: 2020-03-29
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 |
|---|---|---|---|---|
| I20200329000094 | I | Nurse Practitioner | MS | 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 | 53 | 19 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 50 | 18 | $0 |
Insurance plans in this area (ZIP 38655)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MS | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | MS | |
| Clinical Psychologist | MS | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | MS | |
| Mental Health Counselor | MS | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | MS | |
| Clinical Social Worker | MS |
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