Jacqueline L. Griffin, FNP-C
NPI 1114583630ActiveIndividual· Nurse Practitioner· Newport News, VA
Nurse Practitioner (FNP-C) with Lifesource of North Carolina and 2 other groups, practicing in Newport News, Virginia. 27 Medicare patients in 2024, $9,934 paid; nearly all of their 137 Part D prescriptions were generic (90%). Lists Riverside Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1114583630 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-C |
| Sole proprietor | No |
| NPI issued | May 10, 2019 |
| Last updated in NPPES | Mar 17, 2026 |
| Certified by provider | Mar 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 0024177784 | VA |
| Nurse Practitioner, Family | 363LF0000X | 5020110 | NC |
| Registered Nurse | 163W00000X | 0001199727 | 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 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 (NC); Practitioner - Nurse Practitioner (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 27 |
|---|---|
| Services billed | 141 across 4 procedure codes |
| Paid by Medicare | $9,934 |
Part D prescriptions in 2024
| Prescriptions (claims) | 137 · 137 30-day fills |
|---|---|
| Patients | 28 |
| Total drug cost | $8,660 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical groups
- Lifesource of North CarolinaClinton, SC · 178 clinicians
- Lifesource Prime IncClinton, SC · 53 clinicians
- Centerwell Senior Primary Care VA PLLCChesapeake, VA · 42 clinicians
Hospital affiliation
- Riverside Regional Medical CenterNewport News, VA
Other facilities
- Albemarle Home Care and HospiceHome health agency · Elizabeth City, NC
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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