ALEXA STARR DOUGHERTY (CNM) – Advanced Practice Midwife, NPI 1124551668

ALEXA STARR DOUGHERTY (CNM) is a healthcare provider. based in Beverly, Massachusetts. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials CNM. They hold a License No. 294219 (NC). The NPI Number for ALEXA STARR DOUGHERTY (CNM) is 1124551668

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
ALEXA STARR DOUGHERTY (CNM)
NPI
1124551668
Phone
(978) 927-7880
Address
85 Herrick St
Enumeration Date
11 April 2017
Last Update Date
18 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6174142000
Graduation Year
2016 (10 years ago)
PAC ID
2961759758
Group Practice PAC ID
1456323153
Professional Enrollment ID
I20180725001603
Address ID
MA021182908BO1XXXXPLXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

270 CERTIFIED NURSE MIDWIFE (CNM) in MA

Provider Addresses for ALEXA STARR DOUGHERTY (CNM)

  • 85 Herrick St

    Beverly, MA 01915

    Phone: (978) 927-7880

    Type: Location

  • 226 Ashville Ave

    Cary, NC 275186660

    Phone: (919) 852-1053

    Type: Location

  • Beverly Hospital, 85, Herrick Street, Beverly, Essex County, Massachusetts, 01915, United States

    BEVERLY, MA 019151790

    Phone: (781) 883-6629

    Type: Mailing

  • 801 ALBANY STREET

    FL G

    BOSTON, MA 021193791

    Phone:

    Type: Mailing

  • 850 HARRISON AVENUE

    FL 4, YAWKEY BLDG

    BOSTON, MA 02118

    Phone: (617) 414-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-07-25

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180725001603ICertified Nurse Midwife (Cnm)MATBD

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.

Verify on CMS Revalidation Lookup Tool

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 01915)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456323153View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to ALEXA STARR DOUGHERTY (CNM)?
NPI 1124551668 is assigned to ALEXA STARR DOUGHERTY (CNM) under the national enumeration system.
Does this profile mean ALEXA STARR DOUGHERTY (CNM) is currently active?
Yes — ALEXA STARR DOUGHERTY (CNM) appears active in the national provider directory.
What does ALEXA STARR DOUGHERTY (CNM) treat or focus on?
Patients typically see ALEXA STARR DOUGHERTY (CNM) under the specialty Advanced Practice Midwife. Clinical services aligned with this taxonomy classification.
What location metadata exists for ALEXA STARR DOUGHERTY (CNM)?
The page summarizes Beverly, Massachusetts for ALEXA STARR DOUGHERTY (CNM); expand the address list for detail.
Is ALEXA STARR DOUGHERTY (CNM) a real provider?
This page reflects official NPPES data for NPI 1124551668. Always confirm identity and privileges with the practice and licensing boards.

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