CATHERINE ROSE DOUGHERTY (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1306663117

CATHERINE ROSE DOUGHERTY (PMHNP-BC) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. SP030701 (PA). The NPI Number for CATHERINE ROSE DOUGHERTY (PMHNP-BC) is 1306663117

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
CATHERINE ROSE DOUGHERTY (PMHNP-BC)
NPI
1306663117
Phone
(908) 499-7823
Address
3411 CHESTNUT ST APT 430
Enumeration Date
23 September 2024
Last Update Date
23 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2157392669
Graduation Year
2024 (2 years ago)
PAC ID
2365970217
Group Practice PAC ID
1951398452
Professional Enrollment ID
I20250107000334
Address ID
PA191333413PH2600XSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for CATHERINE ROSE DOUGHERTY (PMHNP-BC)

  • 3411 CHESTNUT ST APT 430

    PHILADELPHIA, PA 191045518

    Phone: (908) 499-7823

    Type: Mailing

  • 2600 N AMERICAN ST

    PHILADELPHIA, PA 191333413

    Phone: (215) 203-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $159.

Total Amount is formed as General ($159) + Research ($0) + Ownership ($0) = $159.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Vanda Pharmaceuticals Inc. ($82).

Total Amount

$159

General + Research + Ownership

Payments

8

Total payment records

General Amount

$159

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2025-01-07

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
I20250107000334INurse 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 19104)

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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: 1951398452View full group profile
NameSpecialtyState
-PA
Nurse PractitionerNJ
Nurse PractitionerCA
P S Y C H I A T R YPA
P S Y C H I A T R YPA
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerPA
P S Y C H I A T R YPA
Nurse PractitionerPA

Reviews

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Frequently asked questions

Can I verify CATHERINE ROSE DOUGHERTY (PMHNP-BC) with an NPI only?
You can start verification with NPI 1306663117 for CATHERINE ROSE DOUGHERTY (PMHNP-BC), then check state licensing separately.
Does CMS list CATHERINE ROSE DOUGHERTY (PMHNP-BC) as active?
Yes — CATHERINE ROSE DOUGHERTY (PMHNP-BC) is active in the NPI listing used on this page.
What healthcare role does CATHERINE ROSE DOUGHERTY (PMHNP-BC) hold?
Scheduling teams often label CATHERINE ROSE DOUGHERTY (PMHNP-BC) under Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does CATHERINE ROSE DOUGHERTY (PMHNP-BC) serve?
CATHERINE ROSE DOUGHERTY (PMHNP-BC)'s listing highlights Philadelphia, Pennsylvania; more addresses can appear in NPPES.
Why does CATHERINE ROSE DOUGHERTY (PMHNP-BC) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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