MRS. JAIME LOUISE DOUGHERTY (MSN, APRN, FNP-BC) – Family Nurse Practitioner, NPI 1124669221

MRS. JAIME LOUISE DOUGHERTY (MSN, APRN, FNP-BC) is a healthcare provider. based in Round rock, Texas. specializing in Family Nurse Practitioner. They hold the professional credentials MSN, APRN, FNP-BC. They hold a License No. AP143780 (TX). The NPI Number for MRS. JAIME LOUISE DOUGHERTY (MSN, APRN, FNP-BC) is 1124669221

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JAIME LOUISE DOUGHERTY (MSN, APRN, FNP-BC)
NPI
1124669221
Phone
(512) 694-0124
Address
1604 WILLOW VIS
Enumeration Date
1 October 2019
Last Update Date
15 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7014564000
Graduation Year
2019 (7 years ago)
PAC ID
4880022656
Group Practice PAC ID
0547177560
Professional Enrollment ID
I20200310002918
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

Provider Addresses for MRS. JAIME LOUISE DOUGHERTY (MSN, APRN, FNP-BC)

  • 1604 WILLOW VIS

    ROUND ROCK, TX 786647937

    Phone: (512) 694-0124

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $122.

Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($42).

Total Amount

$122

General + Research + Ownership

Payments

7

Total payment records

General Amount

$122

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-03-10

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200310002918INurse PractitionerNDTBD

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.

Verify on CMS Revalidation Lookup Tool

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 78664)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547177560View full group profile
NameSpecialtyState
Diagnostic RadiologyMN
O B S T E T R I C S/ G Y N E C O L O G YAZ
Nurse PractitionerCO
Certified Registered Nurse Anesthetist (Crna)ND
General SurgeryND
-ND
Diagnostic RadiologyMN
Diagnostic RadiologyMN
Diagnostic RadiologyMN
Nurse PractitionerND

Reviews

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Frequently asked questions

Can I use this page to confirm MRS. JAIME LOUISE DOUGHERTY (MSN, APRN, FNP-BC)'s NPI?
Yes. MRS. JAIME LOUISE DOUGHERTY (MSN, APRN, FNP-BC) is listed with NPI 1124669221 in the public NPI dataset.
Is MRS. JAIME LOUISE DOUGHERTY (MSN, APRN, FNP-BC) still practicing?
MRS. JAIME LOUISE DOUGHERTY (MSN, APRN, FNP-BC) is currently listed as active in the public NPI registry.
What is MRS. JAIME LOUISE DOUGHERTY (MSN, APRN, FNP-BC)'s primary classification?
Family Nurse Practitioner is the headline specialty for MRS. JAIME LOUISE DOUGHERTY (MSN, APRN, FNP-BC) here. Clinical services aligned with this taxonomy classification.
What area does MRS. JAIME LOUISE DOUGHERTY (MSN, APRN, FNP-BC) serve?
MRS. JAIME LOUISE DOUGHERTY (MSN, APRN, FNP-BC)'s listing highlights Round Rock, Texas; more addresses can appear in NPPES.
Why does MRS. JAIME LOUISE DOUGHERTY (MSN, APRN, FNP-BC) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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