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JENNIFER L. DOUGAL NP-C
NPI 1528040805
Nurse Practitioner in Fort Wayne, IN

Active since November 14, 2005PECOS Enrolled
81.23/100
CMS Quality Rating
11123 PARKVIEW PLAZA DR STE 204, FORT WAYNE, IN 46845(260) 266-8380(260) 266-8385 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 7, 2026, Oct 20, 2022, Jun 25, 2021 and 1 more (4 updates tracked since 2017).

About Jennifer L. Dougal Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER L. DOUGAL NP-C (NPI 1528040805) is an individual nurse practitioner in Fort Wayne, Indiana, licensed in Indiana (71002157A) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528040805
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJENNIFER L. DOUGALCredential: NP-C
Location Address11123 PARKVIEW PLAZA DR STE 204Fort Wayne, IN 46845-1707
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Phone(260) 266-8380
Fax(260) 266-8385
Sole ProprietorNo
Enumeration DateNovember 14, 2005
Last NPPES UpdateApril 7, 20264 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1528040805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IN · 71002157A
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 28068948 (IN)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 71002157 (IN)
11123 PARKVIEW PLAZA DR STE 204, Fort Wayne, IN 46845
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer L. Dougal Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46845 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

81.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.95
Promoting Interoperability100
Improvement Activities40
Cost68.49

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE BERDAHL MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
11123 PARKVIEW PLAZA DR STE 204
FORT WAYNE, IN 46845
Allen County (260) 266-8380
OLIVIA CLAIRE MCMILLAN GC
Medical Genetics (Clinical Genetics (M.D.))
11123 PARKVIEW PLAZA DR STE 204
FORT WAYNE, IN 46845
Allen County (260) 266-8380
DR. GEOFFREY GORDON M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
11123 PARKVIEW PLAZA DR STE 204
FORT WAYNE, IN 46845
Allen County (260) 266-8380
MRS. TRACY M HAMRICK CNP
Nurse Practitioner
11123 PARKVIEW PLAZA DR STE 204
FORT WAYNE, IN 46845
Allen County (260) 266-8380
MICHAEL D WOLFE MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
11123 PARKVIEW PLAZA DR STE 204
FORT WAYNE, IN 46845
Allen County (260) 266-8380
PATRICIA E BALDWIN-BODIE RNC, WHNP
Nurse Practitioner
11123 PARKVIEW PLAZA DR STE 204
FORT WAYNE, IN 46845
Allen County (260) 422-7455
AMY RENEE KNEPP NP-C
Nurse Practitioner (Family)
11123 PARKVIEW PLAZA DR STE 204
FORT WAYNE, IN 46845
Allen County (269) 490-6260

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 Jennifer Dougal's NPI number?

The NPI number for Jennifer Dougal is 1528040805. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Where is Jennifer Dougal located?

Jennifer Dougal practices at 11123 Parkview Plaza Dr Ste 204, Fort Wayne, IN 46845. The listed phone number is (260) 266-8380.

What is Jennifer Dougal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jennifer Dougal enrolled in Medicare?

Yes. Jennifer Dougal is registered in the Medicare PECOS enrollment system.

What insurance does Jennifer Dougal accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Jennifer Dougal 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.

When was this NPI record last updated?

The NPPES record for Jennifer Dougal was last updated on April 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.