DEBRA S DOUGHERTY (ARNP) – Nurse Practitioner, NPI 1730104837
Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DEBRA S DOUGHERTY (ARNP)
200 3rd Ave W
Suite 210
Bradenton, FL 342058626
Phone: (941) 792-0340
Fax: (941) 794-2251
Type: Location
5300 State Road 64 Ste 103
Georgetown, IN 471229178
Phone: (812) 923-6200
Fax: (812) 738-7833
Type: Location
PO BOX 38
CORYDON, IN 471120038
Phone: (812) 738-4251
Fax: (812) 738-7833
Type: Mailing
1263 HOSPITAL DR NW STE 260
CORYDON, IN 471122174
Phone: (812) 738-4251
Fax: (812) 738-7833
Type: Location
2234, Colonial Boulevard, Fort Myers, Lee County, Florida, 33907, United States
ATTN: PAYER CONTRACTING & RELATIONS DEPT.
FORT MYERS, FL 339071412
Phone: (239) 931-7342
Fax: (239) 931-7385
Type: Mailing
200, 3rd Avenue West, Bradenton, Manatee County, Florida, 34205, United States
SUITE 210
BRADENTON, FL 342058626
Phone: (941) 792-0340
Fax: (941) 794-2251
Type: Location
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: 2005-05-19
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 |
|---|---|---|---|---|
| I20050519001056 | I | Nurse Practitioner | IN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34205)
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