MRS. KIRSTIN ALYCE DOUGHERTY AG-ACNP
NPI 1891518320
Nurse Practitioner - Acute Care in Philadelphia, PA

Q: What is Kirstin Dougherty's NPI number?

The NPI number for Kirstin Dougherty is 1891518320. It was assigned to this individual provider in the NPPES registry on November 4, 2024.

Q: What is Kirstin Dougherty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Kirstin Dougherty was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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 November 04, 2024PECOS Enrolled

51 N 39TH ST, PHILADELPHIA, PA 19104(215) 662-8000 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Kirstin Alyce Dougherty Ag-acnp NPPES

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

MRS. KIRSTIN ALYCE DOUGHERTY AG-ACNP (NPI 1891518320) is an individual acute care provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP031191) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891518320

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMRS. KIRSTIN ALYCE DOUGHERTYCredential: AG-ACNP

Location Address51 N 39TH STPhiladelphia, PA 19104-2640

Mailing Address1028 N Providence RdMedia, PA 19063-2101 · (610) 659-8921

Phone(215) 662-8000

Sole ProprietorNo

Enumeration DateNovember 4, 2024

NPPES CertifiedNovember 4, 2024

✔ NPI 1891518320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in PA · SP031191

Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License SP031191 (PA)

51 N 39TH ST, Philadelphia, PA 19104

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kirstin Alyce Dougherty Ag-acnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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 20

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

DR. ROBERT BURKE M.D.

Internal Medicine

51 N 39TH ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-9436

JOSEPH FRANCIS HARRYHILL MD

Urology

51 N 39TH ST, MOB SUITE 300
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-8699

NIELS DOUGLAS MARTIN MD

Surgery (Trauma Surgery)

51 N 39TH ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 349-8310

DESIREE E KOTARBA CRNA

Registered Nurse

51 N 39TH ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-8000

DR. SONYA LEE MD

Obstetrics & Gynecology (Gynecology)

51 N 39TH ST, MOB 340
PHILA, PA 19104

Philadelphia County (215) 662-9775

GARY J VIGILANTE MD

Internal Medicine (Cardiovascular Disease)

51 N 39TH ST, PHI BLDG STE 2C PENN PRESBYTERIAN MEDICAL CENTER
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-9010

ANITA C LEE MD

Internal Medicine

51 N 39TH ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-9436

GIRIDHAR MALLYA MD

Family Medicine

51 N 39TH ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-8777

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 Kirstin Dougherty's NPI number?

The NPI number for Kirstin Dougherty is 1891518320. It was assigned to this individual provider in the NPPES registry on November 4, 2024.

Where is Kirstin Dougherty located?

Kirstin Dougherty practices at 51 N 39th St, Philadelphia, PA 19104. The listed phone number is (215) 662-8000.

What is Kirstin Dougherty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kirstin Dougherty enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kirstin Dougherty was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.