Heather Michele Jones, FNP-C
NPI 1053954768ActiveIndividual· Nurse Practitioner, Family· Cleveland, GA
Opted out of Medicare from January 2026 to January 2028. Nurse Practitioner, Family (FNP-C) in Cleveland, Georgia, licensed in GA, with an NPI issued in October 2019. Their prescriptions cost Medicare Part D more than their services did: $255,713 for 2,231 claims, against $679.03 paid for services in 2024. Janssen Pharmaceuticals, Inc was the largest of 2 companies reporting payments in 2025, $69.40 in all, mostly food and beverage.
Overview
| NPI | 1053954768 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-C |
| Sole proprietor | Yes |
| NPI issued | Oct 25, 2019 |
| Last updated in NPPES | May 27, 2022 |
| Certified by provider | May 27, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | RN184275 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Jan 1, 2026 – Jan 1, 2028 |
| Can order and refer | Yes |
| Accepts assignment | Yes (participating) |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Medicare services in 2024
| Medicare patients | 22 |
|---|---|
| Services billed | 34 across 7 procedure codes |
| Paid by Medicare | $679.03 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,231 · 3,880 30-day fills |
|---|---|
| Patients | 216 |
| Total drug cost | $255,713 |
| Generic share | 81% of claims |
Industry payments (Open Payments)
- 2025$69.40 · 3 payments from 2 companies
- 2024$122.55 · 6 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Janssen Pharmaceuticals, Inc | $51.96 | 2 |
| Astrazeneca Pharmaceuticals LP | $17.44 | 1 |
What the 2025 payments were for
- Food and Beverage$69.40 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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