NPPES file of Aug 9, 2026

Jacob Dougherty, AGACNP-BC

Gerontology Nurse Practitioner · Centerville, OH

Jacob Dougherty, AGACNP-BC is a gerontology nurse practitioner with a practice address in Centerville, Ohio, and NPI 1821712316, issued on Sep 28, 2022. Check the license (Ohio APRN.CNP.0032076, as entered in NPPES) with the Ohio board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1821712316
Name
Jacob Dougherty
Credential
AGACNP-BC
Primary taxonomy
Gerontology Nurse Practitioner 363LG0600X
License number
APRN.CNP.0032076 OH
Self-reported in NPPES; status is on the state search
Practice location
2400 Miami Valley Dr, Centerville, OH 45459
Phone
(937) 438-2400
Enumerated
Sep 28, 2022
Record last updated
Mar 11, 2026
Medicare enrollment
Enrolled (PECOS I20230220001749); accepts Medicare assignment
Medical or professional school
University Of Cincinnati College Of Medicine, 2022
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest gerontology nurse practitioner records → All 526 in Ohio → Look up another NPI →

Also registered at 2400 Miami Valley Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Shivani AmbaniInternal Medicine Physician1891439246
  2. Richard AndersonAnesthesiology Physician1801188693
  3. Amie BenderAcute Care Nurse Practitioner1619590429
  4. Erin Berberich, ATCAthletic Trainer1063964062
  5. Lindsey Bowen, PAPhysician Assistant1033462833
  6. Denise Buenger, PA-CPhysician Assistant1417444134

Verify Jacob Dougherty in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Ohio board licenses this profession
    Search for license APRN.CNP.0032076    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Ohio license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through 2 group practices

  1. Kettering Independent Medical Group IncDayton, OH
  2. Rajesh C Patel MD IncDayton, OH

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Jacob Dougherty among 526 gerontology nurse practitioner records in Ohio

Jacob Dougherty, AGACNP-BC is one of 526 gerontology nurse practitioner records with a practice address in Ohio. 83% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2022, is newer than 73% of them.

  • NPI issued2022 · 73% of these records are older, 19% newer
  • In a Medicare fileYes · 83% of these records are
  • In the CMS Doctors and Clinicians fileYes · 70% of these records are
  • Graduated2022 · median 2019 among the 369 with a school on file
  • Record last updated2026 · 36% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LG0600X and a Ohio practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Gerontology Nurse Practitioner providers in Ohio

There are 526 gerontology nurse practitioner records in Ohio.

All 526 in Ohio → Every provider in Centerville → Gerontology Nurse Practitioner nationwide →

The 8 gerontology nurse practitioner records with the nearest ZIP codes

  1. Richard ForemanCenterville, OH 454591033586680
  2. Angela Mathes, NPCenterville, OH 454591508330788
  3. Heather Shoup, CNPDayton, OH 454591407251523
  4. Fontaine WilliamsCenterville, OH 454591467857896
  5. Kelsey ScuderiDayton, OH 454351023481108
  6. Nicole Buckingham, APRN-CNPBeavercreek, OH 454311053906156
  7. Marian Pham, NPBeavercreek, OH 454311124615695
  8. Angela Williams, APRNDayton, OH 454311962911412

Common questions

What is Jacob Dougherty, AGACNP-BC's NPI number?

Jacob Dougherty, AGACNP-BC's National Provider Identifier (NPI) is 1821712316, issued on Sep 28, 2022. An NPI identifies a provider in billing; it is not a license.

Where is Jacob Dougherty, AGACNP-BC located?

The NPPES record lists a practice address at 2400 Miami Valley Dr, Centerville, OH, 45459. Phone: (937) 438-2400. Providers update this record themselves, so call before visiting.

How can I verify Jacob Dougherty, AGACNP-BC's license?

NPPES lists Ohio license number APRN.CNP.0032076, as entered by the provider. Search the Ohio board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.