Connie N Douglass, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

893727 Issued in NV

Practice address

1371 W Warm Springs Rd Ste 120
Henderson, NV 89014-8068

Phone

(702) 213-3099

Fax

(888) 498-3867

NPI assigned

Aug 12, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Urgent Care LLCGroup PAC ID 9830506062, 70 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.8 of 100Reported as apm

Quality

77.6

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

50.84 of 100Reported as group

Quality

7.69

Promoting interoperability

100

Improvement activities

0

Cost

78.46

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: connie.douglass.2@1575.direct.athenahealth.com
• Direct secure messaging: connie.douglass.1@1575.direct.athenahealth.com
• Direct secure messaging: connie.douglass.1@1576.direct.athenahealth.com
• Direct secure messaging: connie.douglass.3@1575.direct.athenahealth.com
• Direct secure messaging: connie.douglass.4@1575.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northwest Urgent Care LLC

  • Urgent Care Clinic/Center
  • Tucson, AZ
  • NPI 1528683455
  Medicare reassignment Care Compare group NPD
• Bullhead City Clinic Corp

  • Surgery Physician
  • Bullhead City, AZ
  • NPI 1962429878
  Medicare reassignment NPD
• Bullhead City Clinic Corp

  • Family Medicine Physician
  • Laughlin, NV
  • NPI 1700240884
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1255069688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 W WARM SPRINGS RD STE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890148068",
            "telephone_number": "702-213-3099",
            "fax_number": "888-498-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 W WARM SPRINGS RD STE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890148068",
            "telephone_number": "702-213-3099",
            "fax_number": "888-498-3867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4900 E Bonanza Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891103505",
            "country_code": "US",
            "telephone_number": "725-205-4063",
            "fax_number": "702-920-7625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGLASS",
        "first_name": "CONNIE",
        "middle_name": "N",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "893727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin Douglas, PT, DPT
• Karye Douglas
• Kyrra-Lyssa Douglas
• Laquailey C Douglas
• Deborah Douglass-Prines
• Joshua Douma
• Tara Douris, MS
• Ann M Dovenmuehler, ATC
• Derrick Matthew Dover
• Julienne Dow

• Family Nurse Practitioner in Henderson, NV
• Providers in Henderson, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.