DR. AMY LYNN DOHERTY D.O.
NPI 1437413812
Family Medicine in Portage, WI
About Dr. Amy Lynn Doherty D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. AMY LYNN DOHERTY D.O. (NPI 1437413812) is an individual family medicine provider in Portage, Wisconsin, licensed in Wisconsin (65068-21) and active in the NPI registry since June 2012. She has opted out of Medicare through July 29, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Amy Lynn Doherty D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 29, 2022 through July 29, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PORTAGE, WI 53901
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 Doherty's NPI number?
The NPI number for Amy Doherty is 1437413812. It was assigned to this individual provider in the NPPES registry on June 29, 2012. The provider is also known as Miss Amy Lynn Doherty Sullivan.
Where is Amy Doherty located?
Amy Doherty practices at 2817 New Pinery Rd, Portage, WI 53901. The listed phone number is (608) 742-4131.
What is Amy Doherty's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Amy Doherty enrolled in Medicare?
No. Amy Doherty has opted out of Medicare through July 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Amy Doherty was last updated on June 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dr. Amy Lynn Doherty, D.O. · NPI 1437413812
Family Medicine physician in Portage, Wisconsin. Individual provider, active in the CMS NPPES registry since June 29, 2012.
## Identity
- **NPI:** 1437413812 (Entity type: Individual)
- **Enumerated:** June 29, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 65068-21 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2817 NEW PINERY RD, Portage, WI 53901-9240
- **Phone:** (608) 742-4131
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through July 29, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** June 28, 2016
---
Source: [NPI Profile](https://npiprofile.com/npi/1437413812) · Data from the CMS NPPES public registry.