MRS. JAIME LOUISE DOUGHERTY MSN, APRN, FNP-BC
NPI 1124669221
Nurse Practitioner - Family in Round Rock, TX
About Mrs. Jaime Louise Dougherty Msn, Aprn, Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JAIME LOUISE DOUGHERTY MSN, APRN, FNP-BC (NPI 1124669221) is an individual family provider in Round Rock, Texas, licensed in North Dakota (R48645) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Chi St Alexius Health Dickinson, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Jaime Louise Dougherty Msn, Aprn, Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Jaime Dougherty reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oakes, ND 58474
- Reassigned Medicare billing, North Dakota enrollment
- 40 clinicians in this Medicare group
Dickinson, ND 58601
- Reassigned Medicare billing, North Dakota enrollment
- Medicare enrollment name: St. Joseph's Hospital And Health Center
- Also billed through NPI 1992947956 (North Dakota)
- 401 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Chi St Alexius Health Dickinson
Critical Access Hospitals · Dickinson, NDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78664 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jaime Dougherty's NPI number?
The NPI number for Jaime Dougherty is 1124669221. It was assigned to this individual provider in the NPPES registry on October 1, 2019. The provider is also known as Mrs. Jaime Louise Dougherty Jaime Dougherty, Fnp.
Where is Jaime Dougherty located?
Jaime Dougherty practices at 1604 Willow Vis, Round Rock, TX 78664. The listed phone number is (512) 694-0124.
What is Jaime Dougherty's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jaime Dougherty enrolled in Medicare?
Yes. Jaime Dougherty is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jaime Dougherty's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaime Dougherty reassigns Medicare benefits to 2 organizations: Oakes Community Hospital (Oakes, ND) and St Josephs Hospital And Health Center (Dickinson, ND). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jaime Dougherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jaime Dougherty accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Jaime Dougherty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Jaime Dougherty affiliated with any hospitals?
According to CMS data, Jaime Dougherty is affiliated with Chi St Alexius Health Dickinson.
When was this NPI record last updated?
The NPPES record for Jaime Dougherty was last updated on March 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Jaime Louise Dougherty, MSN, APRN, FNP-BC · NPI 1124669221
Family physician in Round Rock, Texas. Individual provider, active in the CMS NPPES registry since October 1, 2019.
## Identity
- **NPI:** 1124669221 (Entity type: Individual)
- **Enumerated:** October 1, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R48645 (North Dakota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1604 WILLOW VIS, Round Rock, TX 78664-7937
- **Phone:** (512) 694-0124
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Oakes Community Hospital (NPI 1477724433, Oakes, ND); St Josephs Hospital And Health Center (NPI 1225058217, Dickinson, ND) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** March 15, 2020
- **Other identifiers:** Other 1461364730
---
Source: [NPI Profile](https://npiprofile.com/npi/1124669221) · Data from the CMS NPPES public registry.