ROBERT E DOCHERTY RN
NPI 1093339541
Nurse Practitioner - Family in Friendship, WI

Active since June 01, 2020PECOS EnrolledAccepts Medicare Assignment
402 W LAKE ST, FRIENDSHIP, WI 53934(608) 339-3331 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2025, Feb 15, 2021, Jun 1, 2020 (3 updates tracked since 2020).

About Robert E Docherty Rn NPPES

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

ROBERT E DOCHERTY RN (NPI 1093339541) is an individual family provider in Friendship, Wisconsin, licensed in Wisconsin (10357) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Fort Memorial Hospital, and maintains a secondary practice location in Berlin.

NPPES Registry Identity

NPI1093339541
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameROBERT E DOCHERTYCredential: RN
Location Address402 W LAKE STFriendship, WI 53934-9699
Mailing Address402 W Lake StFriendship, WI 53934-9699 · (608) 339-3331
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 1, 2020
Last NPPES UpdateDecember 4, 20253 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
NPI 1093339541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WI · 10357
Also ListedRegistered NurseTaxonomy 163W00000X · License 226369 (WI)
402 W LAKE ST, Friendship, WI 53934

Secondary Practice Location 1

Location 1225 Memorial Dr Ste 1100Berlin, WI 54923-1243 · Phone (920) 361-5535

Other Identifiers 1

Medicaid100152023WI

Accepted 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

Robert E Docherty Rn 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 ID1052726049
PECOS Enrollment IDI20210225001677
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
44 services44 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
31 services31 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
26 services26 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Fort Memorial Hospital

Acute Care Hospitals · Fort Atkinson, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number520071
Location611 Sherman Ave EFort Atkinson, WI 53538 · Jefferson County
Emergency services Birthing friendly

Aurora Medical Ctr Oshkosh

Acute Care Hospitals · Oshkosh, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520198
Location855 N Westhaven DriveOshkosh, WI 54904 · Winnebago County
Emergency services Birthing friendly

Black River Memorial Hospital

Critical Access Hospitals · Black River Falls, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521333
Location711 W Adams StBlack River Falls, WI 54615 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53934 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers16 claims41 services$5.29 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$104.37 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$35.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
402 W LAKE ST
FRIENDSHIP, WI 53934
General Practice
402 W LAKE ST
FRIENDSHIP, WI 53934
Physician Assistant (Medical)
402 W LAKE ST
FRIENDSHIP, WI 53934
Emergency Medicine
402 W LAKE ST
FRIENDSHIP, WI 53934
Pharmacist
402 W LAKE ST
FRIENDSHIP, WI 53934
Nurse Practitioner (Family)
402 W LAKE ST
FRIENDSHIP, WI 53934
Pharmacist
402 W LAKE ST
FRIENDSHIP, WI 53934
Nurse Practitioner (Family)
402 W LAKE ST
FRIENDSHIP, WI 53934

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 Robert Docherty's NPI number?

The NPI number for Robert Docherty is 1093339541. It was assigned to this individual provider in the NPPES registry on June 1, 2020.

Where is Robert Docherty located?

Robert Docherty practices at 402 W Lake St, Friendship, WI 53934. The listed phone number is (608) 339-3331.

What is Robert Docherty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Robert Docherty enrolled in Medicare?

Yes. Robert Docherty 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.

What insurance does Robert Docherty accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Group Health Cooperative-SCW and HealthPartners and 1 other insurer list Robert Docherty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Robert Docherty affiliated with any hospitals?

According to CMS data, Robert Docherty is affiliated with Fort Memorial Hospital, Aurora Medical Ctr Oshkosh and Black River Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Robert Docherty was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.