ELIZABETH FESSLER DOUGHERTY CNP
NPI 1457728065
Nurse Practitioner - Women's Health in East Boston, MA

Q: What is Elizabeth Dougherty's NPI number?

The NPI number for Elizabeth Dougherty is 1457728065. It was assigned to this individual provider in the NPPES registry on August 31, 2015.

Q: What is Elizabeth Dougherty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Active since August 31, 2015PECOS EnrolledAccepts Medicare Assignment

10 GOVE ST, EAST BOSTON, MA 02128(617) 569-5800(617) 568-4756 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 31, 2022, May 20, 2020 (2 updates tracked since 2020).

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About Elizabeth Fessler Dougherty Cnp NPPES

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

ELIZABETH FESSLER DOUGHERTY CNP (NPI 1457728065) is an individual women's health provider in East Boston, Massachusetts, licensed in Massachusetts (RN2309451) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1457728065

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameELIZABETH FESSLER DOUGHERTYCredential: CNP

Location Address10 GOVE STEast Boston, MA 02128-1920

Mailing Address10 Gove StEast Boston, MA 02128-1920 · (617) 569-5800 · Fax (617) 568-4756

Phone(617) 569-5800

Fax(617) 568-4756

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateAugust 31, 2015

Last NPPES UpdateJanuary 31, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 31, 2022

✔ NPI 1457728065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in MA · RN2309451

10 GOVE ST, East Boston, MA 02128

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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

Elizabeth Fessler Dougherty Cnp 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 ID6709161995

PECOS Enrollment IDI20240409001058, I20240816002403

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 02128 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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.

DR. SUTAPA GHOSH M.D.

Obstetrics & Gynecology