TERI DOUGHERTY N.P.
NPI 1053403683
Nurse Practitioner in Chicago, IL
About Teri Dougherty N.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TERI DOUGHERTY N.P. (NPI 1053403683) is an individual nurse practitioner in Chicago, Illinois, licensed in Illinois (209-000478) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Rush Oak Park Hospital, and is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Teri Dougherty N.p. 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.
Medicare Billing Reassignment
Medicare enrollment records show Teri Dougherty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chicago, IL 60612
- Reassigned Medicare billing, Illinois enrollment
- 2,169 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Rush Oak Park Hospital
Acute Care Hospitals · Oak Park, ILRush University Medical Center
Acute Care Hospitals · Chicago, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHICAGO, IL 60612
CHICAGO, IL 60612
CHICAGO, IL 60612
CHICAGO, IL 60612
CHICAGO, IL 60612
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Teri Dougherty's NPI number?
The NPI number for Teri Dougherty is 1053403683. It was assigned to this individual provider in the NPPES registry on September 29, 2006.
Where is Teri Dougherty located?
Teri Dougherty practices at 1725 W Harrison St Suite 1010, Chicago, IL 60612. The listed phone number is (312) 942-5904.
What is Teri Dougherty's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Teri Dougherty enrolled in Medicare?
Yes. Teri Dougherty is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Teri Dougherty's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Teri Dougherty reassigns Medicare benefits to Rush University Medical Group (Chicago, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Teri Dougherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Teri Dougherty affiliated with any hospitals?
According to CMS data, Teri Dougherty is affiliated with Rush Oak Park Hospital and Rush University Medical Center.
When was this NPI record last updated?
The NPPES record for Teri Dougherty was last updated on August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Teri Dougherty, N.P. · NPI 1053403683
Nurse Practitioner physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since September 29, 2006.
## Identity
- **NPI:** 1053403683 (Entity type: Individual)
- **Enumerated:** September 29, 2006
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 209-000478 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1725 W HARRISON ST, SUITE 1010, Chicago, IL 60612-3841
- **Phone:** (312) 942-5904
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Rush University Medical Group (NPI 1093819542, Chicago, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** August 2, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1053403683) · Data from the CMS NPPES public registry.