Letitia Lynn Jackson, APRN-CNP
NPI 1063812634ActiveIndividual· Nurse Practitioner, Family· Pauls Valley, OK
Nurse Practitioner, Family (APRN-CNP) in Pauls Valley, Oklahoma, licensed in OK, with an NPI issued in September 2014. 168 Medicare patients in 2024, $19,908 paid; nearly all of their 463 Part D prescriptions were generic (97%).
Overview
| NPI | 1063812634 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN-CNP |
| Sole proprietor | No |
| NPI issued | Sep 2, 2014 |
| Last updated in NPPES | Jan 15, 2024 |
| Certified by provider | Jan 15, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 67505 | OK |
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 (OK) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 168 |
|---|---|
| Services billed | 845 across 35 procedure codes |
| Paid by Medicare | $19,908 |
Part D prescriptions in 2024
| Prescriptions (claims) | 463 · 463 30-day fills |
|---|---|
| Patients | 216 |
| Total drug cost | $5,130 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Nurse Practitioner |
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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