MS. AMY ALICIA DOUGHERTY FNP-BC
NPI 1154609071
Nurse Practitioner - Family in Philadelphia, PA

Q: What is Amy Dougherty's NPI number?

The NPI number for Amy Dougherty is 1154609071. It was assigned to this individual provider in the NPPES registry on July 26, 2011.

Q: What is Amy Dougherty's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amy Dougherty was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 26, 2011PECOS Enrolled

800 SPRUCE, PHILADELPHIA, PA 19107(215) 615-3020 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Ms. Amy Alicia Dougherty Fnp-bc NPPES

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

MS. AMY ALICIA DOUGHERTY FNP-BC (NPI 1154609071) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP011230) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154609071

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. AMY ALICIA DOUGHERTYCredential: FNP-BC

Location Address800 SPRUCEPhiladelphia, PA 19107-5211

Mailing Address1331 S Alder StPhiladelphia, PA 19147-5620 · (215) 313-8563

Phone(215) 615-3020

Sole ProprietorNo

Enumeration DateJuly 26, 2011

Last NPPES UpdateJune 28, 2022

NPPES CertifiedFebruary 22, 2022

✔ NPI 1154609071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in PA · SP011230✔ Licensed in NJ · 26NJ00912600✔ Licensed in DE · LG-0011673✔ Licensed in CA · 95021191✔ Licensed in MA · RN2361699✔ Licensed in MD · R237822✔ Licensed in MI · 4704371677✔ Licensed in NY · F349441-01✔ Licensed in WV · 108881✔ Licensed in OH · APRNCNP0029439

800 SPRUCE, Philadelphia, PA 19107

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Amy Alicia Dougherty Fnp-bc 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 19107 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 Amy Dougherty's NPI number?

The NPI number for Amy Dougherty is 1154609071. It was assigned to this individual provider in the NPPES registry on July 26, 2011.

Where is Amy Dougherty located?

Amy Dougherty practices at 800 Spruce, Philadelphia, PA 19107. The listed phone number is (215) 615-3020.

What is Amy Dougherty's specialty?

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

Is Amy Dougherty enrolled in Medicare?

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

What insurance does Amy Dougherty accept?

Health plans from McLaren Health Plan Community list Amy Dougherty 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.

When was this NPI record last updated?

The NPPES record for Amy Dougherty was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.