Individual provider Active NPI

Deborah Dougherty, CRNP

  • Family Nurse Practitioner
  • Wilmington, DE
National Provider Identifier
1447657630
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP014514 Issued in PA
Practice address
2510 Bona Rd
Wilmington, DE 19810-2220
Phone
(302) 893-2216
Fax
(215) 707-4328
NPI assigned
Dec 3, 2014
Last updated
Dec 3, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP014514 PA Primary

Addresses

Primary practice location

2510 Bona Rd
Wilmington, DE 19810-2220

Mailing address

2510 Bona Rd
Wilmington, DE 19810-2220
Phone (302) 893-2216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE, MD3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160210001236 PA Practitioner - Nurse Practitioner 2860796935 Reassigns benefits to 2 organizations
I20210415002061 DE Practitioner - Nurse Practitioner 2860796935 Reassigns benefits to 3 organizations
I20220921000042 MD Practitioner - Nurse Practitioner 2860796935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MHP MD PLLCGroup PAC ID 6507258423, 45 clinicians

Practice addresses (Care Compare)

48 A E Ridge Pike
Conshohocken, PA 19428-2117
Phone (484) 243-6735

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP014514PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Cardiovascular Associates, P.a. CurrentSince Dec 2, 2024 Accepting new patients
Christiana Care Quality Partners CurrentSince Sep 8, 2022 Accepting new patients
MHP MD PLLC CurrentSince Aug 1, 2025 Accepting new patients
Geriatric Medicine Consultants PA CurrentSince Jun 1, 2024 Accepting new patients
Pennsylvania Urgent Care Centers, PLLC CurrentSince Aug 25, 2019 Accepting new patients
Pennsylvania Urgent Care Centers, PLLC CurrentSince Dec 26, 2017 Accepting new patients
Cardiology Physicians, LLC CurrentSince Dec 2, 2024 Accepting new patients
Christiana Care Quality Partners PastSince Aug 1, 2021 Accepting new patients

Locations

121 Becks Woods Dr
Ste 200
Bear, DE 19701
Phone (302) 220-6955

200 Hygeia Dr
Newark, DE 19713
Phone (302) 273-1701

1403 Foulk Rd
Ste 101
Wilmington, DE 19803
Phone (302) 661-7676

1601 Milltown Rd
Ste 2
Wilmington, DE 19808
Phone (302) 463-6542

4724 Limestone Rd
Wilmington, DE 19808
Phone (302) 467-3595

310 E Pulaski Hwy
Elkton, MD 21921
Phone (443) 485-6213

101 North East Plz
North East, MD 21901
Phone (410) 543-2020

5024 Pennell Rd
Aston, PA 19014
Phone (484) 456-1257

400 Fayette St
Ste 180
Conshohocken, PA 19428
Phone (484) 243-6622

48 E Ridge Pike
#A
Conshohocken, PA 19428
Phone (484) 243-6730

150 E Pennsylvania Ave
Ste 140
Downingtown, PA 19335
Phone (610) 518-1060

300 Old Forge Ln
Ste 302
Kennett Square, PA 19348
Phone (484) 778-8000

180 W Girard Ave
Ste 108
Philadelphia, PA 19123
Phone (267) 319-8047

2401 W Cheltenham Ave
Ste 132
Wyncote, PA 19095
Phone (215) 935-6777

Interoperability endpoints

  • Direct secure messaging: deborah.dougherty.p3@direct.chv.nextgenshare.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1447657630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 BONA RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198102220",
            "telephone_number": "302-893-2216",
            "fax_number": "215-707-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 BONA RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198102220",
            "telephone_number": "302-893-2216",
            "fax_number": "215-707-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "DEBORAH",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP014514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.