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Denise Jacks, ARNP

NPI 1104136738ActiveIndividual· Nurse Practitioner, Adult Health· Port Orange, FL

Nurse Practitioner, Adult Health (ARNP) in Port Orange, Florida, licensed in FL, with an NPI issued in October 2010. In 2024 Medicare paid $3,795 for 37 patients, and Part D covered 71 of their prescriptions, 89% of them generic. Alexion Pharmaceuticals, Inc. was the largest of 7 companies reporting payments in 2025, $830.57 in all, mostly food and beverage.

Overview

NPI1104136738
StatusActive
Entity typeIndividual
CredentialARNP
Sole proprietorNo
NPI issuedOct 17, 2010
Last updated in NPPESJan 16, 2025
Certified by providerJan 16, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Adult Health Primary363LA2200X3017972FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (FL); Practitioner - Nurse Practitioner (TX)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients37
Services billed72 across 13 procedure codes
Paid by Medicare$3,795

Part D prescriptions in 2024

Prescriptions (claims)71 · 90 30-day fills
Patients50
Total drug cost$1,513
Generic share89% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$830.57 · 8 payments from 7 companies
  • 2024$1,011 · 10 payments from 7 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$830.57 · 8 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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