CAITLIN DOUGLAS – Certified Registered Nurse Anesthetist, NPI 1043987290

CAITLIN DOUGLAS is a healthcare provider. based in Mount juliet, Tennessee. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 4014651 (KY). The NPI Number for CAITLIN DOUGLAS is 1043987290

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
CAITLIN DOUGLAS
NPI
1043987290
Phone
Not provided
Address
434 PARRISH HL
Enumeration Date
25 August 2021
Last Update Date
8 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5026298000
Graduation Year
2023 (3 years ago)
PAC ID
5496194136
Group Practice PAC ID
0244590305
Professional Enrollment ID
I20240415002459
Address ID
KY402021831LO200XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

2,752 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TN

Provider Addresses for CAITLIN DOUGLAS

  • 434 PARRISH HL

    MOUNT JULIET, TN 371224545

    Phone:

    Mailing address matches the actual address.

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: 2024-04-15

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
I20240415002459ICertified Registered Nurse Anesthetist (Crna)KYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37122)

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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: 0244590305View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)KY

Reviews

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Frequently asked questions

What identifier follows CAITLIN DOUGLAS across health systems?
The NPI 1043987290 uniquely identifies CAITLIN DOUGLAS in U.S. healthcare data.
Quick check: is CAITLIN DOUGLAS active?
Public NPPES data shows CAITLIN DOUGLAS with an active NPI status right now.
What services align with CAITLIN DOUGLAS's listing?
CAITLIN DOUGLAS's public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Can patients visit CAITLIN DOUGLAS in Mount Juliet, Tennessee?
For routing, start with Mount Juliet, Tennessee for CAITLIN DOUGLAS, then verify phone and hours locally.
Who maintains CAITLIN DOUGLAS's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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