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Sara Nicole Douglas

Nurse Practitioner β€’ Quincy, IL

Active NPI 1598578114 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

1025 Maine St
Quincy, IL 623014096

Call 2172226550 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1025 Maine St

Quincy, IL 623014096

Telephone 2172226550
Organization at the Same NPPES Address or Phone
Quincy Physicians & Surgeons Clinic, Pllc Facility NPI 1548234198

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Quincy Physicians And Surgeons Clinic, Pllc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2024

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

2 years (graduated 2024)

CMS Doctors and Clinicians data list 2024 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Sara Douglas has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Sara Douglas as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Quincy and Illinois

28 active clinicians are listed under Nurse Practitioner with a practice address in Quincy, IL (4,894 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Quincy

0% of these 28 clinicians have the CMS telehealth indicator.

64.3% of these 28 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-02-10
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES IL 209031580

(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.

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

License # reported to NPPES IL 209031580
Nurse Practitioner - Gerontology

NUCC Taxonomy Code: 363LG0600X

License # reported to NPPES IL 209031580
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20250307001626

Enrollment State Jurisdiction

IL

PECOS Control ID

8123549011

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Quincy Physicians And Surgeons Clinic, Pllc

1025 Maine St, Quincy, IL 623014038

Phone: 2172226550

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

26 listed
Dr. Dana Altman , DO

Family Medicine

NPI 1043298532

Doctor of Osteopathic Medicine (D.O.)

Dr. Matthew Brink , DO

Family Medicine

NPI 1104209931

Doctor of Osteopathic Medicine (D.O.)

Dr. Elie Chbeir , MD

Internal Medicine - Pulmonary Disease

NPI 1063553303

Doctor of Medicine (M.D.)

Dr. Wissam Derian , MD

Internal Medicine - Cardiovascular Disease

NPI 1063684066

Doctor of Medicine (M.D.)

Katelyn Fessenden

Nurse Practitioner - Family

NPI 1053851790
Dr. Douglas Freel , DPM

Podiatrist - Foot Surgery

NPI 1184614653

Doctor of Podiatric Medicine

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2025

Nurse Practitioner (license number reported to NPPES: IL 209031580)

βœ…
NPI Profile Active February 05, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 05, 2025

Registered at 1025 MAINE ST, QUINCY, IL 623014096 (Tel: 2172226550)

πŸ“
Business Mailing Address (Initial Record) February 05, 2025

Registered at 1025 MAINE ST, QUINCY, IL 623014096 (Tel: 2172226550)

πŸ‘€
Provider Name / Credentials (Initial Record) February 05, 2025

Recorded as SARA DOUGLAS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2025

Nurse Practitioner (license number reported to NPPES: IL 209031580)

🟒
Initial NPI Registration & Enumeration January 28, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1598578114
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 28, 2025
Last Update: February 10, 2025
Sole Proprietor: No

Other Nurse Practitioners in Quincy

All Nurse Practitioners in Quincy

Mailing Address

1025 Maine St

Quincy, IL 623014096

Phone: 2172226550

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.