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SHIRLEY DAUGHERTY FNP-C
NPI 1790439313
Nurse Practitioner in Muncie, IN

Active since February 11, 2022PECOS Enrolled
3505 N VIENNA WOODS DR, MUNCIE, IN 47304(765) 215-7965 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shirley Daugherty Fnp-c NPPES

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

SHIRLEY DAUGHERTY FNP-C (NPI 1790439313) is an individual nurse practitioner in Muncie, Indiana, licensed in Ohio (0030655) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790439313
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHIRLEY DAUGHERTYCredential: FNP-C
Location Address3505 N VIENNA WOODS DRMuncie, IN 47304-2069
Mailing Address3505 N Vienna Woods DrMuncie, IN 47304-2069 · (765) 215-7965
Phone(765) 215-7965
Sole ProprietorNo
Enumeration DateFebruary 11, 2022
NPPES CertifiedFebruary 11, 2022
✔ NPI 1790439313 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 OH · 0030655
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.
3505 N VIENNA WOODS DR, Muncie, IN 47304
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shirley Daugherty Fnp-c 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 Shirley Daugherty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health, LLC
809 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Ohio enrollment
  • 672 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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 47304 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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 Shirley Daugherty's NPI number?

The NPI number for Shirley Daugherty is 1790439313. It was assigned to this individual provider in the NPPES registry on February 11, 2022.

Where is Shirley Daugherty located?

Shirley Daugherty practices at 3505 N Vienna Woods Dr, Muncie, IN 47304. The listed phone number is (765) 215-7965.

What is Shirley Daugherty's specialty?

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

Is Shirley Daugherty enrolled in Medicare?

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

Which organization bills Medicare for Shirley Daugherty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shirley Daugherty reassigns Medicare benefits to Signify Health, LLC (Dallas, TX). 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 Shirley Daugherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shirley Daugherty accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Shirley 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 Shirley Daugherty was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.