Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528040805 Individual Practitioner Female Practitioner

Jennifer L. Dougal , NP-C

Nurse Practitioner • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Jennifer Dougal, NP-C is a registered healthcare professional specializing in Nurse Practitioner in Fort Wayne, IN. Practice services are available at 11123 PARKVIEW PLAZA DR STE 204 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11123 Parkview Plaza Dr Ste 204

Fort Wayne, IN 468451707

Telephone 2602668380
Fax 2602668385
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.2 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
526 Specialists

Practicing in Fort Wayne, IN (2620 Statewide)

Telehealth Adoption Rate
23.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-04-07
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IN 71002157A

(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.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License IN 71002157

Definition to come...

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License IN 28068948

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Danielle Berdahl , MD

Obstetrics & Gynecology - Maternal & Fetal Medicine

NPI 1003026493

Doctor of Medicine (M.D.)

Olivia Mcmillan , GC

Medical Genetics - Clinical Genetics (M.D.)

NPI 1114595725
Dr. Geoffrey Gordon , MD

Obstetrics & Gynecology - Maternal & Fetal Medicine

NPI 1336431139

Doctor of Medicine (M.D.)

Tracy Hamrick , CNP

Nurse Practitioner

NPI 1689080798

Certified Nurse Practitioner

Dr. Michael Wolfe , MD

Obstetrics & Gynecology - Maternal & Fetal Medicine

NPI 1821008285

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location April 07, 2026

Registered at 11123 PARKVIEW PLAZA DR STE 204, FORT WAYNE, IN 468451707 (Tel: 2602668380)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2026

Nurse Practitioner (License #71002157 in IN)

📍
Updated Practice Location June 25, 2021

Registered at 11123 PARKVIEW PLAZA DR STE 203, FORT WAYNE, IN 468451707 (Tel: 2602668380)

📍
Updated Business Mailing Address June 25, 2021

Registered at 11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 468451701

NPI Profile Active March 13, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address March 13, 2017

Registered at 3926 NEW VISION DR, FORT WAYNE, IN 468451712 (Tel: 2604902229)

📍
Updated Practice Location March 13, 2017

Registered at 10215 AUBURN PARK DR, FORT WAYNE, IN 468252387 (Tel: 2604902229)

👤
Provider Name / Credentials Updated March 13, 2017

Recorded as JENNIFER DOUGAL, NP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2017

Registered Nurse (License #28068948 in IN)

NPI Profile Active January 22, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 22, 2014

Registered at 10215 AUBURN PARK DR, FORT WAYNE, IN 468252387 (Tel: 2604902229)

📍
Updated Business Mailing Address January 22, 2014

Registered at 10215 AUBURN PARK DR, FORT WAYNE, IN 468252387 (Tel: 2604902229)

👤
Provider Name / Credentials Updated January 22, 2014

Recorded as JENNIFER DOUGAL, NP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2014

Registered Nurse (License #28068948 in IN)

🟢
Initial NPI Registration & Enumeration November 14, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528040805
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2005
Last Update: April 07, 2026
Sole Proprietor: No

Mailing Address

11109 Parkview Plaza Dr # 117

Fort Wayne, IN 468451701

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.