1. Home
  2. Directory
  3. North Carolina
  4. Jacksonville
  5. Nurse Practitioner
  6. NPI Profile

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

Active since May 18, 2022PECOS Enrolled
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: October 18, 2026.

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

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 maintains a secondary practice location in Jacksonville.

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
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
Open in Google Maps ↗

Secondary Practice Location 1

Location 1118 Memorial DrJacksonville, NC 28546-6328 · Phone (910) 353-0581 · Fax (910) 353-1351

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Doetsch N.p. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jordan Doetsch reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jacksonville Children's And Multispecialty Clinic, PA
Same address
Family Medicine
118 MEMORIAL DR
Jacksonville, NC 28546
  • Reassigned Medicare billing, North Carolina enrollment
  • 61 clinicians in this Medicare group
NPI 1164519070 (910) 353-0581
Monica Perlman MD Inc.
2,280 mi
Primary Care
9850 GENESEE AVE STE 320
La Jolla, CA 92037
  • Reassigned Medicare billing, California enrollment
  • 341 clinicians in this Medicare group
NPI 1134309305 (858) 864-9800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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
120 MEMORIAL DR
JACKSONVILLE, NC 28546
Onslow County (910) 353-0581
JUGTA KAHAI MD
Pediatrics
120 MEMORIAL DR
JACKSONVILLE, NC 28546
Onslow County (910) 353-0581
YVETTE LONGORIA MD
Emergency Medicine
120 MEMORIAL DR
JACKSONVILLE, NC 28546
Onslow County (910) 353-0581
ADRIANE KACHO ENG-OSBORNE D.O.
Pediatrics
120 MEMORIAL DR
JACKSONVILLE, NC 28546
Onslow County (910) 353-0581
MRS. CINDY A COMPEGGIE
Nurse Practitioner (Pediatrics)
120 MEMORIAL DR
JACKSONVILLE, NC 28546
Onslow County (910) 353-0581
MR. JACK EARL WILCOX NURSE PRACTITIONER
Nurse Practitioner (Pediatrics)
120 MEMORIAL DR
JACKSONVILLE, NC 28546
Onslow County (910) 353-0581
NICOLE KOSAKOWSKI PA
Physician Assistant
120 MEMORIAL DR
JACKSONVILLE, NC 28546
Onslow County (910) 353-0581
HEALTH SCIENCES FOUNDATION, INC.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
120 MEMORIAL DR
JACKSONVILLE, NC 28546
Onslow County (910) 772-9202

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 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.

Where is Jordan Doetsch located?

Jordan Doetsch practices at 120 Memorial Dr, Jacksonville, NC 28546. The listed phone number is (910) 353-0581.

What is Jordan Doetsch's specialty?

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

Is Jordan Doetsch enrolled in Medicare?

Yes. Jordan Doetsch is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jordan Doetsch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Doetsch reassigns Medicare benefits to 2 organizations: Jacksonville Children's And Multispecialty Clinic, PA (Jacksonville, NC) and Monica Perlman MD Inc. (La Jolla, CA). 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 Jordan Doetsch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jordan Doetsch was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.