JACLYN MARIE DOHLMAN (ARNP) – Family Nurse Practitioner, NPI 1528533056
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,532 NURSE PRACTITIONER in IA
Provider Addresses for JACLYN MARIE DOHLMAN (ARNP)
403 1st St SE
Belmond, IA 504211201
Phone: (641) 444-3500
Fax: (641) 444-5688
Type: Location
1924 Superior St
Webster City, IA 505953146
Phone: (515) 832-3332
Fax: (515) 832-1114
Type: Location
1316 S Main St
Clarion, IA 505252019
Phone: (515) 532-2811
Fax: (515) 532-3119
Type: Location
South 17th Street, Clear Lake, Cerro Gordo County, Iowa, 50428, United States
CLEAR LAKE, IA 504282304
Phone: (641) 357-1800
Type: Location
54, Four Winds Drive, Clear Lake, Cerro Gordo County, Iowa, 50428, United States
CLEAR LAKE, IA 504281102
Phone: (507) 990-4766
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $238.
Total Amount is formed as General ($238) + Research ($0) + Ownership ($0) = $238.
Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Astellas Pharma US Inc ($100).
Total Amount
$238
General + Research + Ownership
Payments
8
Total payment records
General Amount
$238
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $100 |
| Novo Nordisk Inc | $60 |
| ABBVIE INC. | $54 |
| PFIZER INC. | $25 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-12-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181211002887 | I | Nurse Practitioner | IA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 50421)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | IA | |
| - | IA | |
| Nurse Practitioner | IA | |
| Internal Medicine, Critical Care (Intensivists), Geriatric Medicine | IA | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| Physician Assistant | IA | |
| Pain Management, Anesthesiology | IA | |
| - | NC | |
| Physician Assistant | IA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IA |
Reviews
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