ELIZABETH FESSLER DOUGHERTY (CNP) – Women's Health Nurse Practitioner, NPI 1457728065

ELIZABETH FESSLER DOUGHERTY (CNP) is a healthcare provider. based in East boston, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. RN2309451 (MA). The NPI Number for ELIZABETH FESSLER DOUGHERTY (CNP) is 1457728065

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH FESSLER DOUGHERTY (CNP)
NPI
1457728065
Phone
(617) 569-5800
Address
10 GOVE ST
Enumeration Date
31 August 2015
Last Update Date
31 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2404344088
Graduation Year
2015 (11 years ago)
PAC ID
6709161995
Group Practice PAC ID
0547413825
Professional Enrollment ID
I20240816002403
Address ID
MD206502015LE25500RDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for ELIZABETH FESSLER DOUGHERTY (CNP)

  • 10 GOVE ST

    EAST BOSTON, MA 021281920

    Phone: (617) 569-5800

    Fax: (617) 568-4756

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2024-01-22 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($31).

Total Amount

$31

General + Research + Ownership

Payments

1

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-08-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20170331000013INurse PractitionerMATBD
I20240409001058INurse PractitionerDCTBD
I20240816002403INurse PractitionerMDTBD

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 02128)

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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: 0547413825View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MD
-MD
-MD
-MD
Internal MedicineMD
Critical Care (Intensivists), Sleep Medicine, Pulmonary DiseaseMD
-MD
Diagnostic Radiology, Interventional RadiologyPA
Geriatric Medicine, Internal MedicineMD
Orthopedic SurgeryMD

Reviews

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Frequently asked questions

Does ELIZABETH FESSLER DOUGHERTY (CNP) have a public NPI I can cite?
Public records show ELIZABETH FESSLER DOUGHERTY (CNP) under NPI 1457728065.
Should I treat ELIZABETH FESSLER DOUGHERTY (CNP) as an active provider?
Patients and plans typically see ELIZABETH FESSLER DOUGHERTY (CNP) as active in the national extract.
Which specialty label fits ELIZABETH FESSLER DOUGHERTY (CNP)?
NPPES ties ELIZABETH FESSLER DOUGHERTY (CNP) to Women's Health Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit ELIZABETH FESSLER DOUGHERTY (CNP) in East Boston, Massachusetts?
For routing, start with East Boston, Massachusetts for ELIZABETH FESSLER DOUGHERTY (CNP), then verify phone and hours locally.
Who maintains ELIZABETH FESSLER DOUGHERTY (CNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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