SUSAN L DOUGHTY NP
NPI 1285676759
Nurse Practitioner in Fremont, CA

Active since June 11, 2006PECOS EnrolledAccepts Medicare Assignment
39500 LIBERTY STREET, TRI CITY HEALTH CENTER, FREMONT, CA 94538(510) 770-8133(510) 770-8140 Get Directions Write a Review

NPPES record last updated: August 2, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan L Doughty Np NPPES

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

SUSAN L DOUGHTY NP (NPI 1285676759) is an individual nurse practitioner in Fremont, California, licensed in California (NP13911) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (1996).

NPPES Registry Identity

NPI1285676759
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSUSAN L DOUGHTYCredential: NP
Location Address39500 LIBERTY STREET, TRI CITY HEALTH CENTERFremont, CA 94538
Mailing Address39500 Liberty StreetFremont, CA 94538 · (510) 252-5897
Fax(510) 770-8140
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1996
Enumeration DateJune 11, 2006
Last NPPES UpdateAugust 2, 2012
NPI 1285676759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CA · NP13911
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

39500 LIBERTY STREET, Fremont, CA 94538

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

Susan L Doughty Np 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 ID1052442514
PECOS Enrollment IDI20100626000505
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 94538 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 9

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

Clinic/Center (Federally Qualified Health Center (FQHC))
39500 LIBERTY STREET
FREMONT, CA 94538
Nurse Practitioner
39500 LIBERTY STREET, TRICITY HEALTH CENTER
FREMONT, CA 94538
Family Medicine
39500 LIBERTY STREET, TRI-CITY HEALTH CENTER
FREMONT, CA 94538
Pediatrics
39500 LIBERTY STREET, TRI-CITY HEALTH CENTER
FREMONT, CA 94538
Nurse Practitioner
39500 LIBERTY STREET
FREMONT, CA 94538
Pediatrics
39500 LIBERTY STREET
FREMONT, CA 94538
Registered Nurse
39500 LIBERTY STREET, TRI CITY HEALTH CENTER
FREMONT, CA 94538
Clinic/Center (Federally Qualified Health Center (FQHC))
39500 LIBERTY STREET
FREMONT, CA 94538

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 Susan Doughty's NPI number?

The NPI number for Susan Doughty is 1285676759. It was assigned to this individual provider in the NPPES registry on June 11, 2006.

Where is Susan Doughty located?

Susan Doughty practices at 39500 Liberty Street Tri City Health Center, Fremont, CA 94538. The listed phone number is (510) 770-8133.

What is Susan Doughty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Susan Doughty enrolled in Medicare?

Yes. Susan Doughty 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.

When was this NPI record last updated?

The NPPES record for Susan Doughty was last updated on August 2, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.