MRS. CHRISTINE MARIE DOUGLAS (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1003512443

MRS. CHRISTINE MARIE DOUGLAS (PMHNP-BC) is a healthcare provider. based in Bend, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 10005976 (OR). The NPI Number for MRS. CHRISTINE MARIE DOUGLAS (PMHNP-BC) is 1003512443

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CHRISTINE MARIE DOUGLAS (PMHNP-BC)
NPI
1003512443
Phone
(503) 755-6703
Address
395 SW Bluff Dr Ste 10
Enumeration Date
7 February 2023
Last Update Date
9 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5037556703
Graduation Year
2022 (4 years ago)
PAC ID
5193181170
Group Practice PAC ID
9032537329
Professional Enrollment ID
I20241111002697
Address ID
OR971234142HI535XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:3State licenses:2Digital endpointsOther names

3,379 NURSE PRACTITIONER in OR

Provider Addresses for MRS. CHRISTINE MARIE DOUGLAS (PMHNP-BC)

  • 395 SW Bluff Dr Ste 10

    Bend, OR 977021670

    Phone: (503) 755-6703

    Fax: (503) 755-6704

    Type: Location

  • 24481 Detroit Rd Ste 201

    Westlake, OH 441451557

    Phone: (440) 865-5309

    Type: Location

  • 1846 E INNOVATION PARK DR

    ORO VALLEY, AZ 857551963

    Phone: (503) 755-6703

    Fax: (503) 755-6704

    Type: Mailing

  • 535 SE WASHINGTON ST

    HILLSBORO, OR 971234142

    Phone: (503) 755-6703

    Fax: (503) 755-6704

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $41.

Total Amount is formed as General ($41) + Research ($0) + Ownership ($0) = $41.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: IRONSHORE PHARMACEUTICALS INC. ($41).

Total Amount

$41

General + Research + Ownership

Payments

2

Total payment records

General Amount

$41

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-11-11

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230517001125INurse PractitionerOHTBD
I20241111002697INurse PractitionerORTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes288101$0
90792Psychiatric diagnostic evaluation with medical services9191$0
90785Psychiatric services complicated by communication factor6969$0
View full utilization report →

Insurance plans in this area (ZIP 97702)

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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: 9032537329View full group profile
NameSpecialtyState
Nurse PractitionerWI
Nurse PractitionerAZ
Nurse PractitionerAZ
Nurse PractitionerOR
Nurse PractitionerFL
Nurse PractitionerWI
Nurse PractitionerSC
Nurse PractitionerOR

Reviews

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Frequently asked questions

Does MRS. CHRISTINE MARIE DOUGLAS (PMHNP-BC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. CHRISTINE MARIE DOUGLAS (PMHNP-BC) uses 1003512443.
Is MRS. CHRISTINE MARIE DOUGLAS (PMHNP-BC) listed as active for patients and plans?
The listing shows MRS. CHRISTINE MARIE DOUGLAS (PMHNP-BC) as active in the NPI system.
What is MRS. CHRISTINE MARIE DOUGLAS (PMHNP-BC) best known for clinically?
Directory data describes MRS. CHRISTINE MARIE DOUGLAS (PMHNP-BC) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect MRS. CHRISTINE MARIE DOUGLAS (PMHNP-BC) on a map?
Expect Bend, Oregon as a primary anchor for MRS. CHRISTINE MARIE DOUGLAS (PMHNP-BC) unless the record lists multiple sites.
Why does MRS. CHRISTINE MARIE DOUGLAS (PMHNP-BC) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.