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: July 26, 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, and ordering and referring status from the CMS PECOS system.

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.

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.

What insurance does Mira Daugherty accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee 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 with the weekly NPPES data releases published by CMS.