Jacob Dougherty, AGACNP-BC
NPI 1821712316 · Gerontology Nurse Practitioner · Centerville, OH
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacob Dougherty, AGACNP-BC is a Gerontology Nurse Practitioner provider in Centerville, OH (NPI 1821712316).
Provider details
- NPI number
- 1821712316
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGACNP-BC
- Sex
- Male
- Sole proprietor
- Yes
- License
- APRN.CNP.0032076 (OH)
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 tenure28% of score
3 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
50 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 14 | $105 |
| Critical Care, First 30-74 Minutes99291 | 13 | $172 |
| Ultrasonic Guidance for Blood Vessel Access76937 | 12 | $11 |
| Insertion of Non-Tunneled Central Venous Tube for Infusion (5 Years Or Older)36556 | 11 | $68 |
Typical Medicare-allowed amounts for these services range $11–$172 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 3095 Dayton Xenia Rd Ste 900Dayton, OH 45434-4311Phone: (937) 458-4010Fax: (937) 912-0169
Registry dates
- Enumerated
- 2022-09-28
- Last updated
- 2026-03-11
- Certified
- 2026-03-11
Frequently asked questions
- What is Jacob Dougherty's NPI number?
- Jacob Dougherty's National Provider Identifier (NPI) is 1821712316, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Dougherty's specialty?
- Jacob Dougherty is listed in the NPPES registry with a primary specialty of Gerontology Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jacob Dougherty located?
- Jacob Dougherty's practice location on file with NPPES is 2400 Miami Valley Dr, Centerville, OH 45459-4774.
- What is Jacob Dougherty's phone number?
- The practice phone number listed in the NPPES registry for Jacob Dougherty is (937) 438-2400.
- Does Jacob Dougherty accept Medicare?
- Jacob Dougherty is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacob Dougherty's NPI active?
- Yes — Jacob Dougherty's NPI (1821712316) is active in the NPPES registry as of the last update on 2026-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.