Jessica J. Doutaz, MS, AGNP
NPI 1194106674ActiveIndividual· Nurse Practitioner, Adult Health· Statesville, NC
Nurse Practitioner, Adult Health (MS, AGNP) with Piedmont Healthcare PA and 1 other group, practicing in Statesville, North Carolina. Their prescriptions cost Medicare Part D more than their services did: $517,825 for 6,827 claims, against $6,829 paid for services in 2024. Inari Medical, Inc. reported $33.46 in payments in 2024, mostly food and beverage. Lists Iredell Memorial Hospital Inc as a hospital affiliation.
Overview
| NPI | 1194106674 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, AGNP |
| Sole proprietor | No |
| NPI issued | Jun 10, 2015 |
| Last updated in NPPES | Feb 19, 2026 |
| Certified by provider | Feb 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | 5021443 | NC |
| Nurse Practitioner, Adult Health | 363LA2200X | 24954 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (NC); Practitioner - Nurse Practitioner (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 39 |
|---|---|
| Services billed | 196 across 19 procedure codes |
| Paid by Medicare | $6,829 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,827 · 16,566 30-day fills |
|---|---|
| Patients | 593 |
| Total drug cost | $517,825 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Piedmont Healthcare PAStatesville, NC · 223 clinicians
- Optimed HospitalistsStatesville, NC · 47 clinicians
Hospital affiliation
- Iredell Memorial Hospital IncStatesville, NC
Industry payments (Open Payments)
- 2024$33.46 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Inari Medical, Inc. | $33.46 | 1 |
What the 2024 payments were for
- Food and Beverage$33.46 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner, Adult Health providers in Statesville
- 1487934162
- 1164680856
- 1649895673
- 1861633372
- 1023503265
- 1811291636
All Nurse Practitioner, Adult Health providers in North Carolina →