COLLEEN MARIE DOUGHERTY CRNP
NPI 1609392117
Nurse Practitioner - Family in Jermyn, PA

Active since August 16, 2017PECOS EnrolledAccepts Medicare Assignment
5 S WASHINGTON AVE, JERMYN, PA 18433(570) 230-0019(270) 230-0013 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 10, 2020, Aug 16, 2017 (2 updates tracked since 2017).

About Colleen Marie Dougherty Crnp NPPES

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

COLLEEN MARIE DOUGHERTY CRNP (NPI 1609392117) is an individual family provider in Jermyn, Pennsylvania, licensed in Pennsylvania (SP017680) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1609392117
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCOLLEEN MARIE DOUGHERTYCredential: CRNP
Location Address5 S WASHINGTON AVEJermyn, PA 18433-1121
Mailing Address836 N Irving AveScranton, PA 18510 · (570) 335-7222
Fax(270) 230-0013
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 16, 2017
Last NPPES UpdateDecember 10, 20202 updates tracked since enumeration
NPPES CertifiedDecember 10, 2020
NPI 1609392117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in PA · SP017680
5 S WASHINGTON AVE, Jermyn, PA 18433

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

Colleen Marie Dougherty Crnp 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 ID9739447459
PECOS Enrollment IDI20171229000038
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
26 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18433 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers11 claims15 services$5.71 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$13.09 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$53.71 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pediatrics
5 S WASHINGTON AVE
JERMYN, PA 18433
Internal Medicine
5 S WASHINGTON AVE
JERMYN, PA 18433
Family Medicine (Sports Medicine)
5 S WASHINGTON AVE
JERMYN, PA 18433
Community Health Worker
5 S WASHINGTON AVE
JERMYN, PA 18433
Community Health Worker
5 S WASHINGTON AVE
JERMYN, PA 18433
Family Medicine
5 S WASHINGTON AVE
JERMYN, PA 18433
Nurse Practitioner (Family)
5 S WASHINGTON AVE
JERMYN, PA 18433
Community Health Worker
5 S WASHINGTON AVE
JERMYN, PA 18433

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 Colleen Dougherty's NPI number?

The NPI number for Colleen Dougherty is 1609392117. It was assigned to this individual provider in the NPPES registry on August 16, 2017.

Where is Colleen Dougherty located?

Colleen Dougherty practices at 5 S Washington Ave, Jermyn, PA 18433. The listed phone number is (570) 230-0019.

What is Colleen Dougherty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Colleen Dougherty enrolled in Medicare?

Yes. Colleen Dougherty 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 Colleen Dougherty accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Colleen Dougherty 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 Colleen Dougherty was last updated on December 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.