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Active NPI 1104201714 Individual Practitioner Female Practitioner

Keri Douglas , FNP-BC

Nurse Practitioner • Centrailia, IL

Professional Overview & Biography Verified Profile Summary

Keri Douglas, FNP-BC is a registered healthcare professional specializing in Nurse Practitioner in Centrailia, IL. Practice services are available at 1054 M. L. KING DRIVE #125 under active NPI credentials.

Frequently performed procedures and clinical services include detection test by immunoassay technique for severe acute respiratory syndrome coronavirus, new patient outpatient office visit, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1054 M. L. King Drive #125

Centrailia, IL 62801

Telephone 6184365200

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Centrailia, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Centrailia, IL (4929 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
63.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
34 34 $80.00 $35.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
17 17 $240.00 $92.98
99202 New patient office or other outpatient visit, typically 20 minutes
11 11 $205.00 $65.54

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209.012941

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1942243811

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 24, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 24, 2015

Registered at 1054 M. L. KING DRIVE #125, CENTRAILIA, IL 62801 (Tel: 6184365200)

📍
Updated Business Mailing Address July 24, 2015

Registered at 197 WESTMORE DRIVE, AVISTON, IL 62216 (Tel: 6185608797)

👤
Provider Name / Credentials Updated July 24, 2015

Recorded as KERI DOUGLAS, FNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2015

Nurse Practitioner (License #209.012941 in IL)

🟢
Initial NPI Registration & Enumeration July 24, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104201714
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2015
Last Update: July 24, 2015
Sole Proprietor: No

Mailing Address

197 Westmore Drive

Aviston, IL 62216

Phone: 6185608797

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.