JORDAN DOETSCH N.P.
NPI 1649917956
Nurse Practitioner - Family in Jacksonville, NC

Q: What is Jordan Doetsch's NPI number?

The NPI number for Jordan Doetsch is 1649917956. It was assigned to this individual provider in the NPPES registry on May 18, 2022.

Q: What is Jordan Doetsch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Doetsch was last updated on November 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 18, 2022PECOS EnrolledAccepts Medicare Assignment

120 MEMORIAL DR, JACKSONVILLE, NC 28546(910) 353-0581(910) 577-1150 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 3, 2023, Jan 31, 2023, May 18, 2022 (3 updates tracked since 2022).

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About Jordan Doetsch N.p. NPPES

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

JORDAN DOETSCH N.P. (NPI 1649917956) is an individual family provider in Jacksonville, North Carolina, licensed in North Carolina (5016211) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1649917956

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJORDAN DOETSCHCredential: N.P.

Location Address120 MEMORIAL DRJacksonville, NC 28546-6328

Mailing AddressPo Box 986513Boston, MA 02298-6513 · (910) 219-8326 · Fax (910) 939-4269

Phone(910) 353-0581

Fax(910) 577-1150

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMay 18, 2022

Last NPPES UpdateNovember 3, 20233 updates tracked since enumeration

NPPES CertifiedNovember 3, 2023

✔ NPI 1649917956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NC · 5016211

120 MEMORIAL DR, Jacksonville, NC 28546

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jordan Doetsch N.p. 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.

PECOS PAC ID1759762891

PECOS Enrollment IDI20250702003169

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 28546 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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Other Providers at the Same Location NPPES 20

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

DR. EVGENIYA NIKOLAEVNA CHISENHALL M.D.

Pediatrics