Carley A. Jacobs, PA-C
NPI 1093993560ActiveIndividual· Physician Assistant· Shelton, WA
Physician Assistant (PA-C) in Shelton, Washington, licensed in VA, with an NPI issued in February 2008. Part D covered 152 prescriptions written in 2024, 84% of them generic. Hologic Sales and Service, LLC reported $22.49 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1093993560 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Feb 6, 2008 |
| Last updated in NPPES | Feb 4, 2021 |
| Certified by provider | Feb 4, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 0110002718 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (WA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 152 · 278 30-day fills |
|---|---|
| Patients | 37 |
| Total drug cost | $16,044 |
| Generic share | 84% of claims |
Industry payments (Open Payments)
- 2024$22.49 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Hologic Sales and Service, LLC | $22.49 | 1 |
What the 2024 payments were for
- Food and Beverage$22.49 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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