NPIMap

Individual provider Active NPI

Jayme Dougherty, FNP-C

  • Family Nurse Practitioner
  • Belmond, IA
National Provider Identifier
1356962047
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A158559 Issued in IA
Practice address
403 1St St SE
Belmond, IA 50421-1201
Phone
(641) 444-3500
NPI assigned
May 4, 2020
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A158559 IA Primary

Addresses

Primary practice location

403 1St St SE
Belmond, IA 50421-1201

Mailing address

2974 140TH St
Belmond, IA 50421-7505
Phone (515) 571-9930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200922002427 IA Practitioner - Nurse Practitioner 1355769423 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Specialty Hospital- ClarionGroup PAC ID 3375451347, 94 clinicians
Belmond Community HospitalGroup PAC ID 1052201852, shared by 7 NPIs, 86 clinicians
Trinity Regional Medical CenterGroup PAC ID 7315858529, 170 clinicians

Practice addresses (Care Compare)

215 13TH Ave SW
Clarion Clinic
Clarion, IA 50525-2078
Phone (515) 532-2838

403 1St St SE
Belmond, IA 50421-1201

802 Kenyon Rd
Fort Dodge, IA 50501-5740
Phone (515) 573-3101

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Regional Medical Center CurrentSince May 22, 2023 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
North Iowa Mercy Clinics CurrentSince Sep 19, 2022 Accepting new patients
North Iowa Mercy Clinics Current Accepting new patients
Iowa Specialty Hospital- Clarion Current Accepting new patients
Belmond Community Hospital CurrentSince Jun 20, 2020 Accepting new patients
Belmond Community Hospital Current Accepting new patients
North Iowa Mercy Clinics CurrentSince Sep 19, 2022 Accepting new patients
Belmond Community Hospital Past Accepting new patients

Locations

403 1st St SE
Belmond, IA 50421
Phone (641) 444-3223

1316 S Main St
Clarion, IA 50525
Phone (515) 532-2811

215 13th Ave SW
Clarion, IA 50525
Phone (515) 532-2836

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

840 W US Highway 18
Garner, IA 50438
Phone (641) 925-1500

700 2nd St SE
Ste 101
Hampton, IA 50441
Phone (641) 812-1094

1000 4th St SW
Mason City, IA 50401
Phone (641) 424-6704

705 Elm St E
Rockwell, IA 50469
Phone (641) 372-0315

Interoperability endpoints

  • Direct secure messaging: jdougherty83900@uihcdirect.org
  • Direct secure messaging: jdougherty962734@direct.unitypoint.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1356962047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2974 140TH ST",
            "city": "BELMOND",
            "state": "IA",
            "postal_code": "504217505",
            "telephone_number": "515-571-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 1ST ST SE",
            "city": "BELMOND",
            "state": "IA",
            "postal_code": "504211201",
            "telephone_number": "641-444-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "JAYME",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-04",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A158559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmond, IA

Sources for this page

Verify at the official NPI Registry.