FATIMA Y DOUGLAS (FNP) – Family Nurse Practitioner, NPI 1821799594

FATIMA Y DOUGLAS (FNP) is a healthcare provider. based in Beaumont, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 1110415 (TX). The NPI Number for FATIMA Y DOUGLAS (FNP) is 1821799594

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
FATIMA Y DOUGLAS (FNP)
NPI
1821799594
Phone
Not provided
Address
755 N 11TH ST STE P2200
Enumeration Date
10 March 2023
Last Update Date
14 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4098921192
Graduation Year
2022 (4 years ago)
PAC ID
9436514007
Group Practice PAC ID
9032179791
Professional Enrollment ID
I20230503003615
Address ID
TX777021513BE755XXSTXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for FATIMA Y DOUGLAS (FNP)

  • 755 N 11TH ST STE P2200

    BEAUMONT, TX 777021513

    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)

CMS reports 48 Open Payments records for all available years, with a total value of $1,336.

Total Amount is formed as General ($1,336) + Research ($0) + Ownership ($0) = $1,336.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Lexicon Pharmaceuticals, Inc. ($185).

Total Amount

$1,336

General + Research + Ownership

Payments

48

Total payment records

General Amount

$1,336

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

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: 2023-05-03

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
I20230503003615INurse PractitionerTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes126123$0
99213Established patient office or other outpatient visit, 20-29 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 77702)

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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: 9032179791View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Cardiovascular Disease (Cardiology), Interventional CardiologyTX
Interventional Cardiology, Internal Medicine, Cardiovascular Disease (Cardiology)TX
Cardiovascular Disease (Cardiology)TX
Interventional Cardiology, Cardiovascular Disease (Cardiology)TX

Reviews

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Frequently asked questions

What federal number belongs to FATIMA Y DOUGLAS (FNP)?
The federal identifier for FATIMA Y DOUGLAS (FNP) is NPI 1821799594.
Does this profile mean FATIMA Y DOUGLAS (FNP) is currently active?
Yes — FATIMA Y DOUGLAS (FNP) appears active in the national provider directory.
Can you summarize FATIMA Y DOUGLAS (FNP)'s specialty in plain language?
Clinically, the directory lists FATIMA Y DOUGLAS (FNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for FATIMA Y DOUGLAS (FNP)?
We surface Beaumont, Texas for FATIMA Y DOUGLAS (FNP) based on available NPPES addresses.
How can I contact FATIMA Y DOUGLAS (FNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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