KRISTINE DAUGHERTY PA-C
NPI 1538583463
Physician Assistant in Canoga Park, CA
About Kristine Daugherty Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTINE DAUGHERTY PA-C (NPI 1538583463) is an individual physician assistant in Canoga Park, California, licensed in Colorado (3870) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
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 and accepts Medicare assignment
Kristine Daugherty Pa-c 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91303 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
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 Kristine Daugherty's NPI number?
The NPI number for Kristine Daugherty is 1538583463. It was assigned to this individual provider in the NPPES registry on February 12, 2014.
Where is Kristine Daugherty located?
Kristine Daugherty practices at 22235 Sherman Way Ste 100, Canoga Park, CA 91303. The listed phone number is (804) 909-9166.
What is Kristine Daugherty's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Kristine Daugherty enrolled in Medicare?
Yes. Kristine Daugherty is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Kristine Daugherty accept?
Health plans from CareSource list Kristine 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 Kristine Daugherty was last updated on September 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Kristine Daugherty, PA-C · NPI 1538583463
Physician Assistant physician in Canoga Park, California. Individual provider, active in the CMS NPPES registry since February 12, 2014.
## Identity
- **NPI:** 1538583463 (Entity type: Individual)
- **Enumerated:** February 12, 2014
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 3870 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 22235 SHERMAN WAY STE 100, Canoga Park, CA 91303-1075
- **Phone:** (804) 909-9166
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** September 19, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1538583463) · Data from the CMS NPPES public registry.