CHRISTINA DAUGHERTY (FNP) – Family Nurse Practitioner, NPI 1366974446

CHRISTINA DAUGHERTY (FNP) is a healthcare provider. based in Henderson, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. F02170768 (NV). The NPI Number for CHRISTINA DAUGHERTY (FNP) is 1366974446

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINA DAUGHERTY (FNP)
NPI
1366974446
Phone
(702) 407-8241
Address
861 CORONADO CENTER DR
Enumeration Date
29 March 2017
Last Update Date
11 October 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7028801558
Graduation Year
2016 (10 years ago)
PAC ID
3274890686
Group Practice PAC ID
5092717702
Professional Enrollment ID
I20171120001270
Address ID
NV891021934LA2820XBLVD403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

2,949 NURSE PRACTITIONER in NV

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Provider Addresses for CHRISTINA DAUGHERTY (FNP)

  • 861, Coronado Center Drive, Sunridge Heights, Henderson, Clark County, Nevada, 89052, United States

    STE 211

    HENDERSON, NV 890523992

    Phone: (702) 407-8241

    Fax: (702) 407-8241

    Type: Mailing

  • 2610, West Horizon Ridge Parkway, Sunridge Heights, Henderson, Clark County, Nevada, 89052, United States

    #200

    HENDERSON, NV 890522869

    Phone: (702) 818-9246

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $122.

Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.

Last reported payment date: 2024-06-10 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($94).

Total Amount

$122

General + Research + Ownership

Payments

2

Total payment records

General Amount

$122

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-10

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: 2017-11-20

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
I20171120001270INurse PractitionerNVTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes398116$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes11753$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6057$0
View full utilization report →

Insurance plans in this area (ZIP 89052)

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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: 5092717702View full group profile
NameSpecialtyState
N E P H R O L O G YNV
N E P H R O L O G YNV
Critical Care (Intensivists), NephrologyFL
N E P H R O L O G YNV
Nurse PractitionerNV
Nephrology, Internal MedicineNV
Nephrology, Internal MedicineNV
N E P H R O L O G YNV
Nephrology, Internal MedicineNV
Nurse PractitionerNV

Reviews

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Frequently asked questions

Can I cross-check CHRISTINA DAUGHERTY (FNP) using NPI 1366974446?
NPI 1366974446 belongs to CHRISTINA DAUGHERTY (FNP); compare other details if you need extra assurance.
Is there an active status for CHRISTINA DAUGHERTY (FNP)?
For scheduling context, CHRISTINA DAUGHERTY (FNP) is shown as active in the registry.
What clinical focus is listed for CHRISTINA DAUGHERTY (FNP)?
At a glance, CHRISTINA DAUGHERTY (FNP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is CHRISTINA DAUGHERTY (FNP) located near Henderson?
CHRISTINA DAUGHERTY (FNP) currently maps to Henderson, Nevada in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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