Cleve Edward Jackson II, APRN FNP-C
NPI 1093666190ActiveIndividual· Nurse Practitioner, Family· Louisa, KY
Nurse Practitioner, Family (APRN FNP-C) with Three Rivers Medical Clinics Inc, practicing in Louisa, Kentucky. Enrolled in Medicare as practitioner - nurse practitioner. Lists Three Rivers Medical Center as a hospital affiliation.
Overview
| NPI | 1093666190 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN FNP-C |
| Sole proprietor | No |
| NPI issued | Feb 4, 2026 |
| Last updated in NPPES | Nov 2, 2026 |
| Certified by provider | Nov 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 4051767 | KY |
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 (KY) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Three Rivers Medical Clinics IncLouisa, KY · 30 clinicians
Hospital affiliation
- Three Rivers Medical CenterLouisa, KY
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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