COLLEEN CLOUGHERTY – Family Nurse Practitioner, NPI 1699541425

COLLEEN CLOUGHERTY is a healthcare provider. based in Dripping springs, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 1020327 (MA). The NPI Number for COLLEEN CLOUGHERTY is 1699541425

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
COLLEEN CLOUGHERTY
NPI
1699541425
Phone
(512) 882-3116
Address
32000 RANCH ROAD 12
Enumeration Date
4 December 2023
Last Update Date
5 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5128829116
Graduation Year
2025 (1 year ago)
PAC ID
0648761098
Group Practice PAC ID
5092150714
Professional Enrollment ID
I20251113004730
Address ID
TX786203134DR32000RDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for COLLEEN CLOUGHERTY

  • 32000 RANCH ROAD 12

    DRIPPING SPRINGS, TX 786203134

    Phone: (512) 882-3116

    Fax: (512) 882-3116

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-11-13

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
I20251113004730INurse PractitionerTXTBD

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 78620)

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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: 5092150714View full group profile
NameSpecialtyState
Internal MedicineLA
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Physician AssistantTX
Physician AssistantTX
Physician AssistantTX
Nurse PractitionerTX
Family PracticeTX
Internal MedicineTX

Reviews

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Frequently asked questions

Does COLLEEN CLOUGHERTY share an NPI with anyone else?
NPI numbers are unique to each provider or organization — COLLEEN CLOUGHERTY uses 1699541425.
Does the file indicate COLLEEN CLOUGHERTY is practicing under active NPI?
Directory data currently reports COLLEEN CLOUGHERTY as active.
What is COLLEEN CLOUGHERTY best known for clinically?
Directory data describes COLLEEN CLOUGHERTY with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is COLLEEN CLOUGHERTY based?
COLLEEN CLOUGHERTY is tied to Dripping Springs, Texas in the data we show; additional addresses may exist on the full record.
Is the information about COLLEEN CLOUGHERTY up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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