MRS. HEATHER TIFFANY DOUGHERTY (MSN RN PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1033853114
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for MRS. HEATHER TIFFANY DOUGHERTY (MSN RN PMHNP-BC)
11878 Avenue Of Industry
San Diego, CA 921283423
Phone: (858) 487-3200
Type: Location
2116 Raymond Ave
Ramona, CA 920653034
Phone: (760) 703-7380
Type: Location
2116 RAYMOND AVE
RAMONA, CA 920653034
Phone: (760) 703-7380
Type: Mailing
11770 BERNARDO PLAZA CT STE 370
SAN DIEGO, CA 921282426
Phone: (858) 673-3360
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $446.
Total Amount is formed as General ($446) + Research ($0) + Ownership ($0) = $446.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ITI, Inc. ($115).
Total Amount
$446
General + Research + Ownership
Payments
16
Total payment records
General Amount
$446
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-03-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240304004069 | I | Nurse Practitioner | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92128)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | NY | |
| P S Y C H I A T R Y | CA | |
| Nurse Practitioner | CA | |
| P S Y C H I A T R Y | CA | |
| P S Y C H I A T R Y | CA | |
| Clinical Psychologist | CA | |
| P S Y C H I A T R Y | CA | |
| P S Y C H I A T R Y | SD | |
| P S Y C H I A T R Y | CA | |
| Clinical Social Worker | CA |
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