MRS. HEATHER TIFFANY DOUGHERTY MSN RN PMHNP-BC - NPI 1033853114

Q: What is Heather Dougherty's NPI number?

The NPI number for Heather Dougherty is 1033853114. It was assigned to this individual provider in the NPPES registry on April 25, 2022.

Q: What is Heather Dougherty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Heather Dougherty was last updated on July 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Mrs. Heather Tiffany Dougherty Msn Rn Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. HEATHER TIFFANY DOUGHERTY MSN RN PMHNP-BC (NPI 1033853114) is an individual psychiatric/mental health provider in San Diego, California, licensed in California (95021374) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1033853114

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMRS. HEATHER TIFFANY DOUGHERTYCredential: MSN RN PMHNP-BC

Location Address11770 BERNARDO PLAZA CT STE 370San Diego, CA 92128-2426

Mailing Address2116 Raymond AveRamona, CA 92065-3034 · (760) 703-7380

Phone(858) 673-3360

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 25, 2022

Last NPPES UpdateJuly 2, 2022

NPPES CertifiedJuly 2, 2022

✔ NPI 1033853114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95021374

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 95093407 (CA)

11770 BERNARDO PLAZA CT STE 370, San Diego, CA 92128

Open in Google Maps ↗

Secondary Practice Locations 2

Location 111878 Avenue Of IndustrySan Diego, CA 92128-3423 · Phone (858) 487-3200

Location 22116 Raymond AveRamona, CA 92065-3034 · Phone (760) 703-7380

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Heather Tiffany Dougherty Msn Rn Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840635538

PECOS Enrollment IDI20240304004069

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JESSICA DAVANZO MFT, M.ED

Marriage & Family Therapist