Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Elise R Douglass, PMHNP-BC, APRN

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1376308957

Elise R Douglass, PMHNP-BC, APRN is a Nurse Practitioner in Hampton, Virginia. Qualified in 2022, 4 years ago. Practices with Hampton Newport News Community Services Board, a 26-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
4
Licensed in
VA
In the registry since
2024
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

400 Medical Dr
Hampton, VA 23666-1767
Phone: (757) 788-0400
Fax: (757) 788-0957
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1021 Eden Way N Ste 118, Chesapeake, VA 23320-2776 — (757) 816-6964

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0024189032 (VA)

Record details

NPI number1376308957
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC , APRN
Sole proprietorYes
NPI enumeratedFebruary 14, 2024
Last updated in NPPESMarch 10, 2025
Certification dateMarch 10, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Hampton Newport News Community Services Board — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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