Jerreka Peterson, AGACNP
NPI 1104415827ActiveIndividual· Nurse Practitioner, Acute Care· Colonial Heights, VA
Nurse Practitioner, Acute Care (AGACNP) with Clark Alliance Services Inc, practicing in Colonial Heights, Virginia. Part D covered 383 prescriptions written in 2024, 95% of them generic.
Overview
| NPI | 1104415827 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AGACNP |
| Sole proprietor | No |
| NPI issued | Jan 17, 2021 |
| Last updated in NPPES | Sep 23, 2025 |
| Certified by provider | Sep 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | 0024180529 | VA |
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 (VA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 383 · 384 30-day fills |
|---|---|
| Patients | 21 |
| Total drug cost | $18,746 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Clark Alliance Services IncCharleston, WV · 30 clinicians
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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