KATHERINE DAUGHERTY (CRNP) – Family Nurse Practitioner, NPI 1912464819

KATHERINE DAUGHERTY (CRNP) is a healthcare provider. based in Woonsocket, Rhode Island. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. R186751 (MD). The NPI Number for KATHERINE DAUGHERTY (CRNP) is 1912464819

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE DAUGHERTY (CRNP)
NPI
1912464819
Phone
(410) 643-3007
Address
1 CVS DR
Enumeration Date
27 February 2019
Last Update Date
5 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4104531655
Graduation Year
2018 (8 years ago)
PAC ID
4486997988
Group Practice PAC ID
4981861903
Professional Enrollment ID
I20190524002217
Address ID
MD211584174WE300XXCIRX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

6,767 NURSE PRACTITIONER in MD

Provider Addresses for KATHERINE DAUGHERTY (CRNP)

  • 1 CVS DR

    WOONSOCKET, RI 028956195

    Phone: (410) 643-3007

    Type: Mailing

  • 724 214th St

    Pasadena, MD 211221302

    Phone: (410) 507-6775

    Type: Location

  • 115 S Piney Rd

    Chester, MD 21619

    Phone: (410) 643-3007

    Type: Location

  • 11055 Little Patuxent Pkwy Ste 103

    Columbia, MD 210442908

    Phone: (410) 740-0770

    Type: Location

  • CVS Pharmacy, 115, South Piney Road, Chesterhaven Beach, Chester, Queen Anne's County, Maryland, 21619, United States

    CHESTER, MD 216192619

    Phone: (410) 643-3007

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $138.

Total Amount is formed as General ($138) + Research ($0) + Ownership ($0) = $138.

Last reported payment date: 2024-08-09 • Largest payer in this snapshot: Novo Nordisk Inc ($138).

Total Amount

$138

General + Research + Ownership

Payments

1

Total payment records

General Amount

$138

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$138
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: 2019-12-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20190524002217INurse PractitionerMDTBD
I20191219000508INurse PractitionerDCTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes10299$0
99214Established patient office or other outpatient visit, 30-39 minutes3838$0
99442Telephone medical discussion with physician, 11-20 minutes2222$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus1313$0
99204New patient office or other outpatient visit, 45-59 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 02895)

Loading plans...

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: 4981861903View full group profile
NameSpecialtyState
Nurse PractitionerNY
Physician AssistantMD
Internal Medicine, Geriatric MedicineMD
Nurse PractitionerMD
Nurse PractitionerMD
Internal Medicine, HospitalistNY
-MD
Internal MedicineMD
-WA
-MD

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for KATHERINE DAUGHERTY (CRNP)?
KATHERINE DAUGHERTY (CRNP) — NPI 1912464819 — is the standard way to identify this listing.
Does the file indicate KATHERINE DAUGHERTY (CRNP) is practicing under active NPI?
Directory data currently reports KATHERINE DAUGHERTY (CRNP) as active.
What is KATHERINE DAUGHERTY (CRNP)'s primary classification?
Family Nurse Practitioner is the headline specialty for KATHERINE DAUGHERTY (CRNP) here. Clinical services aligned with this taxonomy classification.
What address line appears for KATHERINE DAUGHERTY (CRNP)?
KATHERINE DAUGHERTY (CRNP)'s geographic hint is Woonsocket, Rhode Island in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

MS. WYNDHAM PURSLEY (CRNP)

Women's Health Nurse Practitioner
301 LIPPINCOTT DR STE 410
NPI: 1790784429

JOHN C CHAMPION (FNP)

Family Nurse Practitioner
CVS Caremark Corporation, 1, CVS Drive, Woonsocket, Providence County, Rhode Island, 02895, United States
NPI: 1548253644

MS. PATRICIA JEAN STARK (NPP)

Family Nurse Practitioner
16, Audubon Road, Warwick, Kent County, Rhode Island, 02888, United States
NPI: 1528051372

MRS. DEBORAH APOLLO SHEPARD (FNP-C)

Family Nurse Practitioner
1, CVS Drive, Woonsocket, Providence County, Rhode Island, 02895, United States
NPI: 1043205628

MEREDITH M DIXON (FNPC)

Family Nurse Practitioner
40, Brownell Street, Coggeshall, Warren, Bristol County, Rhode Island, 02885, United States
NPI: 1518953066

KARLA VANESSA MIRALLES (DNP, APRN)

Family Nurse Practitioner
777 Franklin Rd SE
NPI: 1568450161

MS. JOANNE ROSE RUGGERI (FNP)

Family Nurse Practitioner
PSC 3 BOX 8282
NPI: 1023007481

DR. BRIDGET ANN STERK (FNP,BC)

Family Nurse Practitioner
Southfield Road, Southfield, Linthorpe, Middlesbrough, North East England, England, TS1 3RF, United Kingdom
NPI: 1124003058