Mrs Jessica J Doutaz, MS, AGNP in Statesville, NC

Mrs Jessica J Doutaz, MS, AGNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Statesville, North Carolina. She graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Optimed Hospitalists, Pllc and her current practice location is 208 Old Mocksville Rd, Statesville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 838-8240.

Mrs Jessica J Doutaz is licensed to practice in North Carolina (license number 5021443) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194106674.

Contact Information

	Mrs Jessica J Doutaz, MS, AGNP
	208 Old Mocksville Rd, Statesville, NC 28625-1953
	(704) 838-8240
	(704) 924-5360

Map and Direction

Provider's Profile

Full Name	Mrs Jessica J Doutaz
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	208 Old Mocksville Rd, Statesville, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Jessica J Doutaz graduated from nursing school in 2015

NPI Data:

NPI Number: 1194106674
Provider Enumeration Date: 06/10/2015
Last Update Date: 02/19/2026

Medicare PECOS Information:

PECOS PAC ID: 2668788233
Enrollment ID: I20250415003818

Medical Identifiers

Medical identifiers for Mrs Jessica J Doutaz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194106674	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	24954 (South Carolina)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	5021443 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Iredell Memorial Hospital Inc	Statesville, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Optimed Hospitalists, Pllc	8022204171	45

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. Mrs Jessica J Doutaz allows following entities to bill medicare on her behalf.

Entity Name	Optimed Hospitalists, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235449125 PECOS PAC ID: 8022204171 Enrollment ID: O20101201000378

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. Mrs Jessica J Doutaz 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
Mrs Jessica J Doutaz, MS, AGNP Po Box 1845, Statesville, NC 28687-1845 Ph: (704) 873-4277	Mrs Jessica J Doutaz, MS, AGNP 208 Old Mocksville Rd, Statesville, NC 28625-1953 Ph: (704) 838-8240

Reviews and Comments

Nurse Practitioner Nurses in Statesville, NC

Tanya Kapp Maxwell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1818 Davie Ave, Statesville, NC 28677 Phone: 704-873-1036 Fax: 704-873-1058
Cecilia Kaechele, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 557 Brookdale Dr, Statesville, NC 28677 Phone: 704-997-5525 Fax: 704-997-5531
Elizabeth Raven Carrigan, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2347 Simonton Rd, Statesville, NC 28625 Phone: 704-873-4719
Victor Conrad Paquin, F.P.N. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1425 Fern Creek Dr, Statesville, NC 28625 Phone: 828-459-6824 Fax: 828-330-2056
Kimberly Rae Siegrist, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 750 Hartness Rd Ste G, Statesville, NC 28677 Phone: 980-859-9993 Fax: 980-500-1422
Kelly Dawkins Bumgardner, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 633 Brookdale Dr Ste 100, Statesville, NC 28677 Phone: 704-873-7850
Lisa Vang, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 178 Turnersburg Hwy, Statesville, NC 28625 Phone: 704-872-6355

Mrs Jessica J Doutaz, MS, AGNP - Medicare Nurse Practitioner in Statesville, NC