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MRS. SHAYNE KING DOUGHERTY CRNP
NPI 1154358752
Nurse Practitioner - Pediatrics in Havertown, PA

Active since June 27, 2006PECOS Enrolled
32 GREENVIEW LN, HAVERTOWN, PA 19083(610) 924-9763 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Shayne King Dougherty Crnp NPPES

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

MRS. SHAYNE KING DOUGHERTY CRNP (NPI 1154358752) is an individual pediatrics provider in Havertown, Pennsylvania, licensed in Pennsylvania (SP007565) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154358752
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. SHAYNE KING DOUGHERTYCredential: CRNP
Location Address32 GREENVIEW LNHavertown, PA 19083-4313
Mailing Address3400 Civic Center Blvd.Philadelphia, PA 19104-4399 · (267) 426-5112 · Fax (215) 590-3053
Phone(610) 924-9763
Sole ProprietorNo
Enumeration DateJune 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1154358752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in PA · SP007565
32 GREENVIEW LN, Havertown, PA 19083
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Shayne King Dougherty Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 19083 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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 Shayne Dougherty's NPI number?

The NPI number for Shayne Dougherty is 1154358752. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Shayne Dougherty located?

Shayne Dougherty practices at 32 Greenview Ln, Havertown, PA 19083. The listed phone number is (610) 924-9763.

What is Shayne Dougherty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Shayne Dougherty enrolled in Medicare?

Yes. Shayne Dougherty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shayne Dougherty was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.