SARA DOUGHERTY NP
NPI 1821024480
Nurse Practitioner - Family in Midvale, UT

Q: What is Sara Dougherty's NPI number?

The NPI number for Sara Dougherty is 1821024480. It was assigned to this individual provider in the NPPES registry on June 24, 2006.

Q: What is Sara Dougherty's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sara Dougherty was last updated on December 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 24, 2006PECOS EnrolledAccepts Medicare Assignment

7302 S BINGHAM JUNCTION BLVD, MIDVALE, UT 84047(801) 442-5502 Get Directions Write a Review

NPPES record last updated: December 26, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 26, 2018, Sep 22, 2016, Feb 17, 2016 and 1 more (4 updates tracked since 2016).

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About Sara Dougherty Np NPPES

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

SARA DOUGHERTY NP (NPI 1821024480) is an individual family provider in Midvale, Utah, licensed in Utah (10814308-4405) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Henderson, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1821024480

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSARA DOUGHERTYCredential: NP

Location Address7302 S BINGHAM JUNCTION BLVDMidvale, UT 84047-4804

Mailing Address7302 S Bingham Junction BlvdMidvale, UT 84047-4804 · (801) 442-5502

Phone(801) 442-5502

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateJune 24, 2006

Last NPPES UpdateDecember 26, 20184 updates tracked since enumeration

✔ NPI 1821024480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in UT · 10814308-4405✔ Licensed in NV · APRN002108

Also ListedNurse PractitionerTaxonomy 363L00000X · License 120828 (MO)

7302 S BINGHAM JUNCTION BLVD, Midvale, UT 84047

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Secondary Practice Location 1

Location 1874 American Pacific DrHenderson, NV 89014-8800 · Phone (702) 777-4809 · Fax (702) 777-4822

Other Identifiers 7

Medicaid100183120AOK

Other173861MO · Anthem

Medicaid200000240AKS

Other500014122Rr Medicare

OtherV112696NV · Sma Medicare

Other1821024480NV · Sma Medicaid

Medicaid428623219MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Select Health.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

Sara Dougherty Np 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 ID2769452069

PECOS Enrollment IDI20190402002838

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

16 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84047 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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 10

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

MISS NICOLE MARIE JOHNSON PA-C

Physician Assistant