Shauntorya Jackson, AGNP
NPI 1104296615ActiveIndividual· Nurse Practitioner, Gerontology· Flower Mound, TX
Nurse Practitioner, Gerontology (AGNP) with Cardio and Renal Therapeutics of North Texas PLLC and 2 other groups, practicing in Flower Mound, Texas. In 2024 Medicare paid $275,070 for 613 patients, and Part D covered 51 of their prescriptions, 86% of them generic.
Overview
| NPI | 1104296615 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AGNP |
| Sole proprietor | No |
| NPI issued | Sep 28, 2015 |
| Last updated in NPPES | Jul 5, 2023 |
| Certified by provider | Jul 5, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | AP128145 | TX |
| Nurse Practitioner | 363L00000X | AP128145 | TX |
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) | Enrolled Practitioner - Nurse Practitioner (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 613 |
|---|---|
| Services billed | 2,703 across 24 procedure codes |
| Paid by Medicare | $275,070 |
Part D prescriptions in 2024
| Prescriptions (claims) | 51 · 54 30-day fills |
|---|---|
| Patients | 26 |
| Total drug cost | $4,457 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical groups
- Cardio and Renal Therapeutics of North Texas PLLCMcKinney, TX · 31 clinicians
- Long Term Health Careline CorpWaxahachie, TX · 8 clinicians
- Advanced Wound Care of North Texas PLLCDallas, TX · 5 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other gerontology nurse practitioners in Flower Mound
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