Jaclyn Smith, NP
NPI 1013419530ActiveIndividual· Nurse Practitioner· Bend, OR
Nurse Practitioner (NP) with St Charles Health System Inc, practicing in Bend, Oregon. 106 Medicare patients in 2024, $16,554 paid; nearly all of their 196 Part D prescriptions were generic (91%). Lists St Charles Medical Center - Bend and 1 other hospital as hospital affiliations.
Overview
| NPI | 1013419530 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Feb 28, 2018 |
| Last updated in NPPES | Apr 16, 2026 |
| Certified by provider | Apr 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 201801521NP-PP | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 106 |
|---|---|
| Services billed | 269 across 18 procedure codes |
| Paid by Medicare | $16,554 |
Part D prescriptions in 2024
| Prescriptions (claims) | 196 · 199 30-day fills |
|---|---|
| Patients | 56 |
| Total drug cost | $8,617 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- St Charles Health System IncBend, OR · 377 clinicians
Hospital affiliations
- St Charles Medical Center - BendBend, OR
- St Charles Medical Center PrinevillePrineville, OR
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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