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DIANE L DOUGHERTY ARNP
NPI 1770534620
Nurse Practitioner - Family in Louisville, KY

Active since May 15, 2006PECOS Enrolled
215 CENTRAL AVE STE 110, LOUISVILLE, KY 40208(502) 852-6479(502) 852-6449 Get Directions Write a Review

NPPES record last updated: April 8, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Diane L Dougherty Arnp NPPES

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

DIANE L DOUGHERTY ARNP (NPI 1770534620) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3002140) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770534620
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDIANE L DOUGHERTYCredential: ARNP
Location Address215 CENTRAL AVE STE 110Louisville, KY 40208-1449
Mailing Address501 E Broadway, Suite 290Louisville, KY 40202-1785 · (502) 217-8221 · Fax (502) 217-5056
Phone(502) 852-6479
Fax(502) 852-6449
Sole ProprietorNo
Enumeration DateMay 15, 2006
Last NPPES UpdateApril 8, 2011
✔ NPI 1770534620 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 KY · 3002140
215 CENTRAL AVE STE 110, Louisville, KY 40208
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diane L Dougherty Arnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Diane Dougherty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Louisville Research Foundation, Inc
Same address
Internal Medicine
215 CENTRAL AVE STE 110
Louisville, KY 40208
  • Reassigned Medicare billing, Kentucky enrollment
  • 27 clinicians in this Medicare group
NPI 1720010788 (502) 852-6446

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40208 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 2

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

HALEY HUMPHREY DNP, FNP-C
Nurse Practitioner (Family)
215 CENTRAL AVE STE 110
LOUISVILLE, KY 40208
Jefferson County (502) 852-6479
UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION, INC
Internal Medicine
215 CENTRAL AVE STE 110
LOUISVILLE, KY 40208
Jefferson County (502) 852-6446

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 Diane Dougherty's NPI number?

The NPI number for Diane Dougherty is 1770534620. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Diane Dougherty located?

Diane Dougherty practices at 215 Central Ave Ste 110, Louisville, KY 40208. The listed phone number is (502) 852-6479.

What is Diane Dougherty's specialty?

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

Is Diane Dougherty enrolled in Medicare?

Yes. Diane Dougherty is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Diane Dougherty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diane Dougherty reassigns Medicare benefits to University Of Louisville Research Foundation, Inc (Louisville, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Diane Dougherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Diane Dougherty was last updated on April 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.