Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIMBERLY DAUGHERTY
NPI 1508641705
Nurse Practitioner in Riverside, CA

Q: What is Kimberly Daugherty's NPI number?

The NPI number for Kimberly Daugherty is 1508641705. It was assigned to this individual provider in the NPPES registry on August 28, 2023.

Q: What is Kimberly Daugherty's specialty?

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

Active since August 28, 2023PECOS Enrolled

9890 COUNTY FARM RD STE 2, RIVERSIDE, CA 92503(951) 509-2499(951) 358-7166 Get Directions Write a Review

NPPES record last updated: October 25, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 24, 2023, Aug 28, 2023 (2 updates tracked since 2023).

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About Kimberly Daugherty NPPES

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

KIMBERLY DAUGHERTY (NPI 1508641705) is an individual nurse practitioner in Riverside, California, licensed in California (95026843) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508641705

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKIMBERLY DAUGHERTY

Location Address9890 COUNTY FARM RD STE 2Riverside, CA 92503-3678

Mailing Address9890 County Farm Rd Ste 2Riverside, CA 92503-3678 · (951) 509-2499

Phone(951) 509-2499

Fax(951) 358-7166

Sole ProprietorYes

Enumeration DateAugust 28, 2023

Last NPPES UpdateOctober 25, 20262 updates tracked since enumeration

NPPES CertifiedOctober 25, 2026

✔ NPI 1508641705 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 · 95026843

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.

9890 COUNTY FARM RD STE 2, Riverside, CA 92503

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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 (PECOS)

Kimberly Daugherty 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92503 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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.

BIRCH HARTEL PSS

Peer Specialist