KERRY ANN LOUGHRAN LOUGHRAN (CRNP) – Primary Care Nurse Practitioner, NPI 1114476207

KERRY ANN LOUGHRAN LOUGHRAN (CRNP) is a healthcare provider. based in Media, Pennsylvania. specializing in Primary Care Nurse Practitioner. They hold the professional credentials CRNP. They hold a License No. SP016489 (PA). The NPI Number for KERRY ANN LOUGHRAN LOUGHRAN (CRNP) is 1114476207

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
KERRY ANN LOUGHRAN LOUGHRAN (CRNP)
NPI
1114476207
Phone
(484) 621-1100
Address
1048 W BALTIMORE PIKE
Enumeration Date
29 September 2016
Last Update Date
2 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2016 (10 years ago)
PAC ID
4385925106
Group Practice PAC ID
5698065142
Professional Enrollment ID
I20170110000237
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:9State licenses:1Digital endpointsOther names

Provider Addresses for KERRY ANN LOUGHRAN LOUGHRAN (CRNP)

  • 1048 W BALTIMORE PIKE

    MEDIA, PA 190636300

    Phone: (484) 621-1100

    Type: Mailing

  • Baltimore Pike, Bowling Green, Nether Providence Township, Delaware County, Pennsylvania, 19065, United States

    SUITE 3101 OUTPATIENT PAVILION

    MEDIA, PA 190635139

    Phone: (610) 891-9277

    Type: Mailing

  • 100, East State Street, Media, Delaware County, Pennsylvania, 19063, United States

    MEDIA, PA 190633434

    Phone: (610) 891-9277

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $127.

Total Amount is formed as General ($127) + Research ($0) + Ownership ($0) = $127.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: ACADIA Pharmaceuticals Inc ($65).

Total Amount

$127

General + Research + Ownership

Payments

6

Total payment records

General Amount

$127

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

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: 2017-01-10

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
I20170110000237INurse PractitionerPATBD

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 19063)

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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: 5698065142View full group profile

Reviews

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Frequently asked questions

Can I cross-check KERRY ANN LOUGHRAN LOUGHRAN (CRNP) using NPI 1114476207?
NPI 1114476207 belongs to KERRY ANN LOUGHRAN LOUGHRAN (CRNP); compare other details if you need extra assurance.
Is there an active status for KERRY ANN LOUGHRAN LOUGHRAN (CRNP)?
For scheduling context, KERRY ANN LOUGHRAN LOUGHRAN (CRNP) is shown as active in the registry.
What kind of doctor is KERRY ANN LOUGHRAN LOUGHRAN (CRNP)?
KERRY ANN LOUGHRAN LOUGHRAN (CRNP) is associated with Primary Care Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with KERRY ANN LOUGHRAN LOUGHRAN (CRNP)?
Directory geography for KERRY ANN LOUGHRAN LOUGHRAN (CRNP) centers on Media, Pennsylvania.
When was this NPI issued?
Enumeration for KERRY ANN LOUGHRAN LOUGHRAN (CRNP) is noted as September 29, 2016 where the registry provides it.

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