JENNIFER LYNN DOUGHERTY – Medical Physician Assistant, NPI 1265629968

JENNIFER LYNN DOUGHERTY is a healthcare provider. based in Lancaster, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold a License No. MA053172 (PA). The NPI Number for JENNIFER LYNN DOUGHERTY is 1265629968

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER LYNN DOUGHERTY
NPI
1265629968
Phone
(717) 544-4930
Address
540 N DUKE ST
Enumeration Date
27 September 2007
Last Update Date
15 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7178269781
Graduation Year
2007 (19 years ago)
PAC ID
0941398234
Group Practice PAC ID
7113903998
Professional Enrollment ID
I20071231000055
Address ID
PA176022374LA540XXSTXX419
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

9,691 PHYSICIAN ASSISTANT in PA

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Provider Addresses for JENNIFER LYNN DOUGHERTY

  • Sleep Medicine Center at Lancaster General Health, 540, North Duke Street, Lancaster, Lancaster County, Pennsylvania, 17602, United States

    LANCASTER, PA 176022374

    Phone: (717) 544-4930

    Fax: (717) 544-4964

    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 40 Open Payments records for all available years, with a total value of $1,192.

Total Amount is formed as General ($1,192) + Research ($0) + Ownership ($0) = $1,192.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($302).

Total Amount

$1,192

General + Research + Ownership

Payments

40

Total payment records

General Amount

$1,192

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

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: 2007-12-31

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
I20071231000055IPhysician AssistantPATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes693492$0
99204New patient office or other outpatient visit, 45-59 minutes7070$0
99215Established patient office or other outpatient visit, 40-54 minutes4237$0
View full utilization report →

Insurance plans in this area (ZIP 17602)

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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: 7113903998View full group profile
NameSpecialtyState
Pulmonary Disease, Internal Medicine, Critical Care (Intensivists)PA
Pulmonary Disease, Critical Care (Intensivists)PA
Critical Care (Intensivists), Pulmonary DiseasePA
Pulmonary Disease, Critical Care (Intensivists), Sleep MedicinePA
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerPA
Pulmonary Disease, Critical Care (Intensivists)PA
Nurse PractitionerPA

Reviews

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Frequently asked questions

Is JENNIFER LYNN DOUGHERTY listed with a National Provider Identifier?
Yes — JENNIFER LYNN DOUGHERTY has NPI 1265629968 on file in the registry.
Is there an active status for JENNIFER LYNN DOUGHERTY?
For scheduling context, JENNIFER LYNN DOUGHERTY is shown as active in the registry.
What clinical focus is listed for JENNIFER LYNN DOUGHERTY?
At a glance, JENNIFER LYNN DOUGHERTY is tied to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Pennsylvania is JENNIFER LYNN DOUGHERTY registered?
Use Lancaster, Pennsylvania as the headline location for JENNIFER LYNN DOUGHERTY here.
When was this NPI issued?
Enumeration for JENNIFER LYNN DOUGHERTY is noted as September 27, 2007 where the registry provides it.

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