Ashleigh Douglas
Individual provider Active NPI Certified Registered Nurse Anesthetist · Watertown, WI
NPI 1669940664 · NPPES record last updated Feb 11, 2025
Key facts
- NPI
- 1669940664
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 225088 (WI)
- Practice address
- 125 Hospital Dr
Watertown, WI 53098-3303 - Phone
- (920) 261-4210
- NPI assigned
- Nov 7, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Watertown Anesthesia LLC
Fort Healthcare Inc
Practice addresses (Care Compare)
125 Hospital Dr
Watertown, WI 53098-3303
Phone (920) 262-4784
611 E Sherman Ave
Fort Atkinson, WI 53538-1960
Phone (920) 568-5000
Hospital & facility affiliations
- Watertown Memorial Hospital
- Fort Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190617002757 | WI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4385977719 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 225088 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Watertown Anesthesia, LLC | Current |
Accepting new patients | |
| Fort Healthcare Inc | Current |
Accepting new patients | |
| Fort Healthcare Inc | Current | Accepting new patients | |
| Vituity-Wisconsin Anesthesia SC | Current |
Accepting new patients | |
| Fort Healthcare, Inc. | Current |
Accepting new patients | |
| Aurora Medical Group, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Andisthesia LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Vituity-Wisconsin Anesthesia SC | Current | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
19333 W North Ave
Brookfield, WI 53045
Phone (262) 785-2000
611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667
6495 S 27th St
Franklin, WI 53132
Phone (414) 574-0253
5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932
13250 Washington Ave
Mount Pleasant, WI 53177
Phone (262) 799-8330
6508 S 27th St
Ste 9
Oak Creek, WI 53154
9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000
13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300
125 Hospital Dr
Watertown, WI 53098
Phone (920) 261-4210
201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 225088 | WI | Yes |
Addresses
Primary practice location
125 Hospital Dr
Watertown, WI 53098-3303
Mailing address
PO Box 249
Fort Atkinson, WI 53538-0249
Phone (706) 832-7340
Other practice location 1
611 Sherman Ave E
Fort Atkinson, WI 53538-1960
Phone (920) 568-5000
Other providers in Watertown, WI
- Lexi Derry
- Mary Catherine Desmond
- Alan L. Detwiler
- Jenny Donar
- Megan Doughty
- Dr. Geller Wi S C
- Jennifer Rae Draeger
- DRS. Foot Source, Inc.
- John T Duffin
- Deirdre Duffy
All providers in Watertown, WI · Certified Registered Nurse Anesthetist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.