Jacob Dougherty, AGACNP-BC in Centerville, OH

Jacob Dougherty, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Centerville, Ohio. He went to University Of Cincinnati College Of Medicine and graduated in 2022 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Rajesh C Patel Md Inc and his current practice location is 2400 Miami Valley Dr, Centerville, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 438-2400.

Jacob Dougherty is licensed to practice in Ohio (license number APRN.CNP.0032076) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1821712316.

Contact Information

	Jacob Dougherty, AGACNP-BC
	2400 Miami Valley Dr, Centerville, OH 45459-4774
	(937) 438-2400
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacob Dougherty
Gender	Male
Speciality	Nurse Practitioner
Experience	3 Years
Location	2400 Miami Valley Dr, Centerville, Ohio
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacob Dougherty attended and graduated from University Of Cincinnati College Of Medicine in 2022

NPI Data:

NPI Number: 1821712316
Provider Enumeration Date: 09/28/2022
Last Update Date: 11/03/2025

Medicare PECOS Information:

PECOS PAC ID: 2163894171
Enrollment ID: I20230220001749

Medical Identifiers

Medical identifiers for Jacob Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821712316	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	APRN.CNP.0032076 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Miami Valley Hospital	Dayton, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Rajesh C Patel Md Inc	2961538467	26

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacob Dougherty allows following entities to bill medicare on his behalf.

Entity Name	Premier Health Specialists Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194958223 PECOS PAC ID: 5597708594 Enrollment ID: O20050610000010

Entity Name	Rajesh C Patel Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467446369 PECOS PAC ID: 2961538467 Enrollment ID: O20100408000316

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob Dougherty is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jacob Dougherty, AGACNP-BC 1 Prestige Pl Ste 550, Miamisburg, OH 45342-6115 Ph: (937) 762-1306	Jacob Dougherty, AGACNP-BC 2400 Miami Valley Dr, Centerville, OH 45459-4774 Ph: (937) 438-2400

Reviews and Comments

Nurse Practitioner Nurses in Centerville, OH

Brittany Renee Montgomery, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5400 Cornerstone North Blvd, Centerville, OH 45440 Phone: 937-528-7070
Mr. Benjamin Daniel Malcolm, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1095 S Main St, Centerville, OH 45458 Phone: 937-439-8622
Heather Davis, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2400 Miami Valley Dr, Centerville, OH 45459 Phone: 937-438-2400
Eric Harris, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6611 Clyo Rd, Centerville, OH 45459 Phone: 937-208-8282
Terri M Caputo-jones, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 330 N Main St, Centerville, OH 45459 Phone: 937-435-1445 Fax: 937-439-7552
Alysha Weeter, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 217 Amber Dr, Centerville, OH 45458 Phone: 937-510-4075
Marie Middleton, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7740 Washington Village Dr, Ste 120, Centerville, OH 45459 Phone: 937-439-7411 Fax: 937-433-8030

Jacob Dougherty, AGACNP-BC - Medicare Nurse Practitioner in Centerville, OH