MIRA DAUGHERTY APRN
NPI 1992207088
Nurse Practitioner - Primary Care in Danville, KY

Active since March 05, 2018PECOS EnrolledAccepts Medicare Assignment
430 W MAIN ST, DANVILLE, KY 40422(502) 219-3488 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 11, 2021, Mar 5, 2018 (2 updates tracked since 2018).

About Mira Daugherty Aprn NPPES

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

MIRA DAUGHERTY APRN (NPI 1992207088) is an individual primary care provider in Danville, Kentucky, licensed in Kentucky (3012025) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1992207088
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMIRA DAUGHERTYCredential: APRN
Location Address430 W MAIN STDanville, KY 40422-1888
Mailing Address307 Dallas DrHustonville, KY 40437-8304 · (606) 669-0537
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 5, 2018
Last NPPES UpdateNovember 11, 20212 updates tracked since enumeration
NPPES CertifiedNovember 10, 2021
✔ NPI 1992207088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in KY · 3012025
430 W MAIN ST, Danville, KY 40422

Other Identifiers 1

Medicaid7100522600KY

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mira Daugherty Aprn 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 ID446505549
PECOS Enrollment IDI20180613001735
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 Reassignments

3

Medicare enrollment records show Mira Daugherty reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urology
230 W MAIN ST, STE 102
Danville, KY 40422
  • Reassigned Medicare billing, Kentucky enrollment
  • 247 clinicians in this Medicare group
Primary Care
3150 CUSTER DR STE 203
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • Also billed through NPI 1609448059 (Kentucky)
Addiction Medicine
1121 LOUISVILLE RD STE 501
Frankfort, KY 40601
  • Reassigned Medicare billing, Kentucky enrollment
  • 8 clinicians in this Medicare group

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 40422 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.

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 Mira Daugherty's NPI number?

The NPI number for Mira Daugherty is 1992207088. It was assigned to this individual provider in the NPPES registry on March 5, 2018.

Where is Mira Daugherty located?

Mira Daugherty practices at 430 W Main St, Danville, KY 40422. The listed phone number is (502) 219-3488.

What is Mira Daugherty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Mira Daugherty enrolled in Medicare?

Yes. Mira Daugherty 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.

Which organizations bill Medicare for Mira Daugherty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mira Daugherty reassigns Medicare benefits to 3 organizations: Ephraim Mcdowell Health Resource, Inc (Danville, KY), Kentucky Services, LLC (Lexington, KY) and Commonhealth LLC (Frankfort, KY). Each 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 Mira Daugherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mira Daugherty accept?

Health plans from Anthem Blue Cross and Blue Shield list Mira 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 Mira Daugherty was last updated on November 11, 2021. 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.