KIMBERLY DAUGHERTY
NPI 1508641705
Nurse Practitioner in Van Nuys, CA

Active since August 28, 2023PECOS Enrolled
14541 DELANO ST, VAN NUYS, CA 91411(877) 515-8113 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

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 Van Nuys, 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 Address14541 DELANO STVan Nuys, CA 91411-2820
Mailing Address4478 9th StRiverside, CA 92501-3108 · (951) 877-0141
Sole ProprietorYes
Enumeration DateAugust 28, 2023
Last NPPES UpdateOctober 24, 20232 updates tracked since enumeration
NPPES CertifiedOctober 21, 2023
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.

14541 DELANO ST, Van Nuys, CA 91411

Accepted Insurance

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 91411 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 19

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

Nurse Practitioner (Psychiatric/Mental Health)
14541 DELANO ST
VAN NUYS, CA 91411
Psychologist (Clinical)
14541 DELANO ST
VAN NUYS, CA 91411
Community Health Worker
14541 DELANO ST
VAN NUYS, CA 91411
Clinic/Center (Mental Health (Including Community Mental Health Center))
14541 DELANO ST
VAN NUYS, CA 91411
Registered Nurse (Psychiatric/Mental Health)
14541 DELANO ST
VAN NUYS, CA 91411
Psychiatry & Neurology (Psychiatry)
14541 DELANO ST
VAN NUYS, CA 91411
Nurse Practitioner (Psychiatric/Mental Health)
14541 DELANO ST
VAN NUYS, CA 91411
Student in an Organized Health Care Education/Training Program
14541 DELANO ST
VAN NUYS, CA 91411

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 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.

Where is Kimberly Daugherty located?

Kimberly Daugherty practices at 14541 Delano St, Van Nuys, CA 91411. The listed phone number is (877) 515-8113.

What is Kimberly Daugherty's specialty?

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

Is Kimberly Daugherty enrolled in Medicare?

Yes. Kimberly Daugherty is registered in the Medicare PECOS enrollment system.

What insurance does Kimberly Daugherty accept?

Health plans from Providence Health Plan list Kimberly Daugherty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Daugherty was last updated on October 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.