Shayne Dougherty, CRNP
NPI 1154358752 · Pediatric Nurse Practitioner · Havertown, PA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shayne Dougherty, CRNP is a Pediatric Nurse Practitioner provider in Havertown, PA (NPI 1154358752).
Provider details
- NPI number
- 1154358752
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- License
- SP007565 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-27
- Last updated
- 2007-07-08
Frequently asked questions
- What is Shayne Dougherty's NPI number?
- Shayne Dougherty's National Provider Identifier (NPI) is 1154358752, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shayne Dougherty's specialty?
- Shayne Dougherty is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shayne Dougherty located?
- Shayne Dougherty's practice location on file with NPPES is 32 Greenview Ln, Havertown, PA 19083-4313.
- What is Shayne Dougherty's phone number?
- The practice phone number listed in the NPPES registry for Shayne Dougherty is (610) 924-9763.
- Does Shayne Dougherty accept Medicare?
- Shayne Dougherty is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shayne Dougherty's NPI active?
- Yes — Shayne Dougherty's NPI (1154358752) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.