MS. ANDRE LESTINA DOUGLAS (FNP-BC, PMHNP-BC) – Nurse Practitioner, NPI 1316272388
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MS. ANDRE LESTINA DOUGLAS (FNP-BC, PMHNP-BC)
1825 E WARM SPRINGS RD
LAS VEGAS, NV 891194547
Phone:
Type: Mailing
1101 Wilson Blvd Fl 6
Arlington, VA 222092281
Phone: (888) 731-8994
Type: Location
15333 N Pima Rd Ste 305
Scottsdale, AZ 852602717
Phone: (888) 731-8994
Fax: (888) 732-8119
Type: Location
100 Cambridge St Fl 14
Boston, MA 021142509
Phone: (888) 731-8994
Fax: (888) 732-8119
Type: Location
111 W Jackson Blvd Ste 1700
Chicago, IL 606043597
Phone: (888) 731-8994
Fax: (888) 732-8119
Type: Location
1802, Braeburn Drive, Braeburn, Salem, Salem (city), Virginia, 24153, United States
SALEM, VA 241537357
Phone: (540) 772-3490
Fax: (540) 772-3822
Type: Mailing
14355 MIRANDA WAY
LOS ALTOS HILLS, CA 940222032
Phone: (888) 731-8994
Fax: (888) 732-8199
Type: Mailing
15333 N PIMA RD STE 305
SCOTTSDALE, AZ 852602717
Phone: (888) 731-8994
Fax: (888) 732-8119
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $353.
Total Amount is formed as General ($353) + Research ($0) + Ownership ($0) = $353.
Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($125).
Total Amount
$353
General + Research + Ownership
Payments
6
Total payment records
General Amount
$353
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sumitomo Pharma America, Inc. | $125 |
| Neurocrine BioSciences Inc. | $98 |
| Axonics, Inc. | $82 |
| Amgen Inc. | $18 |
| ABBVIE 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: 2023-05-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20230410002342 | I | Nurse Practitioner | WI | TBD |
| I20230530001191 | I | Nurse Practitioner | AR | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89119)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Pediatric Medicine | MI | |
| - | NC | |
| - | NC | |
| - | NC | |
| Cardiovascular Disease (Cardiology) | MN | |
| Internal Medicine | NC | |
| Certified Nurse Midwife (Cnm) | NC | |
| Nurse Practitioner | NC | |
| Certified Registered Nurse Anesthetist (Crna) | NC | |
| - | NC |
Reviews
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