SALLY DOUGHTY
NPI 1295316057
Nurse Practitioner - Family in Evansville, IN
About Sally Doughty NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SALLY DOUGHTY (NPI 1295316057) is an individual family provider in Evansville, Indiana, licensed in Indiana (71011051A) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sally Doughty is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sally Doughty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Terre Haute, IN 47802
- Reassigned Medicare billing, Indiana enrollment
- 598 clinicians in this Medicare group
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 47710 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Sally Doughty's NPI number?
The NPI number for Sally Doughty is 1295316057. It was assigned to this individual provider in the NPPES registry on April 14, 2021.
Where is Sally Doughty located?
Sally Doughty practices at 4480 1st Ave, Evansville, IN 47710. The listed phone number is (812) 425-1525.
What is Sally Doughty's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Sally Doughty enrolled in Medicare?
Yes. Sally Doughty is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sally Doughty's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sally Doughty reassigns Medicare benefits to Cep America LLC (Terre Haute, IN). 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 Sally Doughty'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 Sally Doughty was last updated on April 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Sally Doughty · NPI 1295316057
Family physician in Evansville, Indiana. Individual provider, active in the CMS NPPES registry since April 14, 2021.
## Identity
- **NPI:** 1295316057 (Entity type: Individual)
- **Enumerated:** April 14, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 71011051A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 4480 1ST AVE, Evansville, IN 47710-3622
- **Phone:** (812) 425-1525
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Cep America LLC (NPI 1629898507, Terre Haute, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 14, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1295316057) · Data from the CMS NPPES public registry.