Jacob Dougherty, AGACNP-BC
NPI 1821712316ActiveIndividual· Nurse Practitioner, Gerontology· Centerville, OH
Nurse Practitioner, Gerontology (AGACNP-BC) in Centerville, Ohio, trained at University of Cincinnati College of Medicine (class of 2022). Medicare paid $5,388 for services to 44 patients in 2024.
Overview
| NPI | 1821712316 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AGACNP-BC |
| Sole proprietor | Yes |
| NPI issued | Sep 28, 2022 |
| Last updated in NPPES | Mar 11, 2026 |
| Certified by provider | Mar 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | APRN.CNP.0032076 | OH |
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 (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 44 |
|---|---|
| Services billed | 72 across 9 procedure codes |
| Paid by Medicare | $5,388 |
Education and affiliations
| Medical school | University of Cincinnati College of Medicine |
|---|---|
| Graduation year | 2022 |
| Medicare specialty | Nurse Practitioner |
Medical groups
- Kettering Independent Medical Group IncXenia, OH · 710 clinicians
- Rajesh C Patel MD IncHuber Heights, OH · 26 clinicians
Hospital affiliations
- Atrium Medical CenterFranklin, OH
- Kettering Health Greene MemorialXenia, OH
- Miami Valley HospitalDayton, OH
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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