Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Kelly Douglass, CRNP

Individual provider Nurse Practitioner · NPI 1598198525

Mrs. Kelly Douglass, CRNP is a Nurse Practitioner in Williamsport, Pennsylvania. Qualified in 2013, 13 years ago. Practices with Susquehanna Physician Services, a 612-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
13
Licensed in
PA
In the registry since
2013
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

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Practice location Address checks out

1705 Warren Ave Ste 303
Williamsport, PA 17701-2665 Not confirmed with CMS for 13 years — call before visiting
Phone: (570) 326-8500
Fax: (570) 326-8049
Show map & directions

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP013049 (PA)

Record details

NPI number1598198525
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedAugust 13, 2013
Last updated in NPPESAugust 13, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Susquehanna Physician Services — 612 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients169
Services billed 783 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Upmc Muncy Hospital · Muncy, PA
  • Upmc Williamsport Hospital · Williamsport, PA
  • Upmc Home Healthcare Home health agency · Williamsport, PA
  • Family Hospice Hospice · Williamsport, PA

Colleagues at Susquehanna Physician Services

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 612 clinicians in the practice; 12 are shown here.

Other providers in Williamsport