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NANCY M DOOLEY
NPI 1215381702
Nurse Practitioner - Adult Health in Philadelphia, PA

Active since April 20, 2016PECOS EnrolledAccepts Medicare Assignment
10 E MORELAND AVE STE 100, PHILADELPHIA, PA 19118(267) 437-3163(267) 437-3176 Get Directions Write a Review

NPPES record last updated: June 3, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 7, 2020, May 16, 2016 (2 updates tracked since 2016).

About Nancy M Dooley NPPES

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

NANCY M DOOLEY (NPI 1215381702) is an individual adult health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP016175) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1215381702
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameNANCY M DOOLEY
Location Address10 E MORELAND AVE STE 100Philadelphia, PA 19118-3562
Mailing Address10 E Moreland Ave Ste 100Philadelphia, PA 19118-3562 · (267) 385-5538 · Fax (267) 437-3176
Phone(267) 437-3163
Fax(267) 437-3176
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 20, 2016
Last NPPES UpdateJune 3, 20222 updates tracked since enumeration
NPPES CertifiedJune 3, 2022
✔ NPI 1215381702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in PA · SP016175
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License SP016175 (PA)
10 E MORELAND AVE STE 100, Philadelphia, PA 19118
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Nancy M Dooley 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 ID2860788304
PECOS Enrollment IDI20160908001893
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.

Medicare Billing Reassignment

Medicare enrollment records show Nancy Dooley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kidney Care Specialists LLC
11 mi
Nephrology
2000 SPROUL RD STE 300
Broomall, PA 19008
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 41 clinicians in this Medicare group
NPI 1962992404 (610) 295-1046

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19118 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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
7 suppliers86 claims14,145 services$0.29 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers20 claims3,000 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers68 claims8,580 services$0.18 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers14 claims2,280 services$0.92 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
8 suppliers89 claims89 services$17.89 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
8 suppliers102 claims109 services$11.71 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 7

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

DEVIN MCKELVEY D.O.
Internal Medicine (Nephrology)
10 E MORELAND AVE STE 100
PHILADELPHIA, PA 19118
Philadelphia County (267) 437-3163
RICHARD A FRIEDMAN M.D.
Internal Medicine (Nephrology)
10 E MORELAND AVE STE 100
PHILADELPHIA, PA 19118
Philadelphia County (267) 437-3163
PETER FUMO M.D.
Internal Medicine (Nephrology)
10 E MORELAND AVE STE 100
PHILADELPHIA, PA 19118
Philadelphia County (267) 437-3163
DELAWARE VALLEY NEPHROLOGY AND HYPERTENSION ASSOC PC
Internal Medicine (Nephrology)
10 E MORELAND AVE STE 100
PHILADELPHIA, PA 19118
Philadelphia County (267) 385-5538
WILLIAM F. MCELHAUGH D.O.
Internal Medicine (Nephrology)
10 E MORELAND AVE STE 100
PHILADELPHIA, PA 19118
Philadelphia County (267) 385-5538
AKASH NAIR SETHI D.O.
Internal Medicine (Nephrology)
10 E MORELAND AVE STE 100
PHILADELPHIA, PA 19118
Philadelphia County (267) 437-3163
THOMAS CHARLES DELGIORNO M.D.
Internal Medicine (Nephrology)
10 E MORELAND AVE STE 100
PHILADELPHIA, PA 19118
Philadelphia County (267) 437-3163

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 Nancy Dooley's NPI number?

The NPI number for Nancy Dooley is 1215381702. It was assigned to this individual provider in the NPPES registry on April 20, 2016.

Where is Nancy Dooley located?

Nancy Dooley practices at 10 E Moreland Ave Ste 100, Philadelphia, PA 19118. The listed phone number is (267) 437-3163.

What is Nancy Dooley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Nancy Dooley enrolled in Medicare?

Yes. Nancy Dooley 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 Nancy Dooley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nancy Dooley reassigns Medicare benefits to Kidney Care Specialists LLC (Broomall, PA). 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 Nancy Dooley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nancy Dooley accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Nancy Dooley 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 Nancy Dooley was last updated on June 3, 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.