COLLEEN MARIE DOUGHERTY (CRNP) – Family Nurse Practitioner, NPI 1609392117
Family Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
11,473 NURSE PRACTITIONER in PA
Provider Addresses for COLLEEN MARIE DOUGHERTY (CRNP)
1145 NORTHERN BOULEVARD
SOUTH ABINGTON, PA 18411
Phone: (570) 343-2383
Type: Location
5 S WASHINGTON AVE
JERMYN, PA 184331121
Phone: (570) 230-0019
Fax: (270) 230-0013
Type: Location
836, North Irving Avenue, Petersburg, Scranton, Lackawanna County, Pennsylvania, 18510, United States
SCRANTON, PA 18510
Phone: (570) 335-7222
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $315.
Total Amount is formed as General ($315) + Research ($0) + Ownership ($0) = $315.
Last reported payment date: 2024-08-17 • Largest payer in this snapshot: Gilead Sciences, Inc. ($57).
Total Amount
$315
General + Research + Ownership
Payments
18
Total payment records
General Amount
$315
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gilead Sciences, Inc. | $57 |
| Novo Nordisk Inc | $38 |
| Exact Sciences Corporation | $30 |
| ABBVIE INC. | $22 |
| GlaxoSmithKline, LLC. | $20 |
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: 2017-12-29
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 |
|---|---|---|---|---|
| I20171229000038 | I | Nurse Practitioner | PA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 82947 | Blood glucose (sugar) level | 38 | 24 | $0 |
| 83036 | Hemoglobin a1c level | 18 | 15 | $0 |
| 0241U | Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected | 12 | 12 | $0 |
Insurance plans in this area (ZIP 18411)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | Belgrade | |
| - | NY | |
| Internal Medicine | PA | |
| Internal Medicine | PA | |
| - | PA | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | PA | |
| Internal Medicine, Pediatric Medicine, Addiction Medicine | PA | |
| Family Practice | PA | |
| Internal Medicine | PA |
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