Nicole Jackson
Nurse Practitioner, Psych/Mental Health with Mount Carmel Behavioral Healthcare LLC and 1 other group, practicing in Columbus, Ohio. Their prescriptions cost Medicare Part D more than their services did: $111,645 for 509 claims, against $18,905 paid for services in 2024. Janssen Pharmaceuticals, Inc reported $21.29 in payments in 2025, mostly food and beverage. A record with the same name and state is on the OIG exclusion list; it carries no NPI, so check it before acting.
Overview
| NPI | 1043753403 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Dec 2, 2016 |
| Last updated in NPPES | May 30, 2025 |
| Certified by provider | May 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | 020277 | OH |
| Nurse Practitioner, Family | 363LF0000X | 020277 | OH |
Exclusion screening
Possible match: verify before acting. The OIG list has a record with the same name in Ohio, but that record carries no NPI, so it may be a different person or business.
| Matched by | Name on OIG list | Exclusion type | Excluded since | Location |
|---|---|---|---|---|
| Name + state | Nicole Jackson · Health Care Aide | 1128a1 | Jan 20, 2016 | Cleveland, OH |
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | Possible (name) | See above |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | Possible (name) | Excluded · since Jul 20, 2015 · OH |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 53 |
|---|---|
| Services billed | 345 across 6 procedure codes |
| Paid by Medicare | $18,905 |
Part D prescriptions in 2024
| Prescriptions (claims) | 509 · 514 30-day fills |
|---|---|
| Patients | 111 |
| Total drug cost | $111,645 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical groups
- Mount Carmel Behavioral Healthcare LLCColumbus, OH · 11 clinicians
- Maumee Valley Guidance Center IncDefiance, OH · 7 clinicians
Industry payments (Open Payments)
- 2025$21.29 · 1 payment from 1 company
- 2024$106.05 · 5 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Janssen Pharmaceuticals, Inc | $21.29 | 1 |
What the 2025 payments were for
- Food and Beverage$21.29 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 405 psychiatric nurse practitioners in Columbus · All psychiatric nurse practitioners in Ohio