MS. TAMMY M. DAUGHERTY (MSN, CNM) – Advanced Practice Midwife, NPI 1285626556
Advanced Practice Midwife
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
292 CERTIFIED NURSE MIDWIFE (CNM) in OH
Provider Addresses for MS. TAMMY M. DAUGHERTY (MSN, CNM)
819 SOUTHWESTERN RUN
UNIT 1
POLAND, OH 445143688
Phone: (330) 629-9991
Fax: (330) 629-9992
Type: Location
8401 Market St
Boardman, OH 445126725
Phone: (330) 729-4350
Fax: (330) 729-4351
Type: Location
8423 MARKET ST FL 3
BOARDMAN, OH 445126778
Phone: (330) 729-7901
Fax: (330) 729-7915
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: 2012-04-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120425000513 | I | Certified Nurse Midwife (Cnm) | OH | 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 44514)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED NURSE MIDWIFE (CNM) | OH | 81002 | Urinalysis, manual test | 21 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Cardiovascular Disease (Cardiology) | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Family Practice | IA | |
| Nurse Practitioner | PA | |
| Radiation Oncology | PA | |
| H O S P I T A L I S T | OH | |
| N E U R O L O G Y | OH |
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