KERITH DUGGAN CRNP
NPI 1225493695
Nurse Practitioner - Pediatrics in Philadelphia, PA

Q: What is Kerith Duggan's NPI number?

The NPI number for Kerith Duggan is 1225493695. It was assigned to this individual provider in the NPPES registry on December 29, 2015.

Q: What is Kerith Duggan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kerith Duggan was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since December 29, 2015PECOS Enrolled

4417 N 6TH ST, PHILADELPHIA, PA 19140(215) 302-3600(215) 329-2369 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 8, 2025, Dec 29, 2015 (2 updates tracked since 2015).

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About Kerith Duggan Crnp NPPES

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

KERITH DUGGAN CRNP (NPI 1225493695) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP017254) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225493695

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameKERITH DUGGANCredential: CRNP

Location Address4417 N 6TH STPhiladelphia, PA 19140-2319

Mailing Address4417 N 6th StPhiladelphia, PA 19140-2319 · (215) 302-3150 · Fax (215) 329-2000

Phone(215) 302-3600

Fax(215) 329-2369

Sole ProprietorNo

Enumeration DateDecember 29, 2015

Last NPPES UpdateAugust 8, 20252 updates tracked since enumeration

NPPES CertifiedAugust 8, 2025

✔ NPI 1225493695 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

Licenses✔ Licensed in PA · SP017254✔ Licensed in MD · R219689

4417 N 6TH ST, Philadelphia, PA 19140

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kerith Duggan 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.

Medicare Billing Reassignment

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

Esperanza Health Center, Inc.

Same address

Federally Qualified Health Center (FQHC)

4417 N 6TH ST, ESPERANZA HEALTH CEN
Philadelphia, PA 19140

Reassigned Medicare billing, Pennsylvania enrollment
52 clinicians in this Medicare group

NPI 1255726659 (215) 302-3150

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 19140 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.

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.

DOMINIC DERENGE D.O.

Family Medicine

4417 N 6TH ST
PHILADELPHIA, PA 19140

Philadelphia County (215) 302-6000

DHIVYA T PATTANIYIL MSN, CRNP

Nurse Practitioner (Family)

4417 N 6TH ST
PHILADELPHIA, PA 19140

Philadelphia County (215) 302-3600

HELEN MUTOKO

Nurse Practitioner (Family)

4417 N 6TH ST
PHILADELPHIA, PA 19140

Philadelphia County (215) 302-3600

MARY SIMMS LPC

Counselor (Mental Health)

4417 N 6TH ST
PHILADELPHIA, PA 19140

Philadelphia County (215) 302-3600

OANH HOANG VO CRNP

Nurse Practitioner (Family)

4417 N 6TH ST
PHILADELPHIA, PA 19140

Philadelphia County (215) 302-3600

ESPERANZA HEALTH CENTER, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))

4417 N 6TH ST, ESPERANZA HEALTH CEN
PHILADELPHIA, PA 19140

Philadelphia County (215) 302-3150

CHRISTINA ELYSE DERENGE PSYD

Psychologist

4417 N 6TH ST
PHILADELPHIA, PA 19140

Philadelphia County (215) 302-3600

LAURA CLAIRE CHACON

Doula

4417 N 6TH ST
PHILADELPHIA, PA 19140

Philadelphia County (215) 302-3600

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 Kerith Duggan's NPI number?

The NPI number for Kerith Duggan is 1225493695. It was assigned to this individual provider in the NPPES registry on December 29, 2015.

Where is Kerith Duggan located?

Kerith Duggan practices at 4417 N 6th St, Philadelphia, PA 19140. The listed phone number is (215) 302-3600.

What is Kerith Duggan's specialty?

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

Is Kerith Duggan enrolled in Medicare?

Yes. Kerith Duggan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kerith Duggan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kerith Duggan reassigns Medicare benefits to Esperanza Health Center, Inc. (Philadelphia, 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 Kerith Duggan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kerith Duggan was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.