Jacob Jackson, APRN, CNP
NPI 1134629405ActiveIndividual· Nurse Practitioner, Family· Elk City, OK
Nurse Practitioner, Family (APRN, CNP) with Farmers Union Hospital Association and 1 other group, practicing in Elk City, Oklahoma. In 2024 Medicare paid $60,256 for 102 patients, and Part D covered 420 of their prescriptions, 80% of them generic. Medtronic, Inc. reported $27.91 in payments in 2025, mostly food and beverage. Lists Great Plains Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1134629405 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN, CNP |
| Sole proprietor | No |
| NPI issued | Feb 13, 2018 |
| Last updated in NPPES | Mar 26, 2020 |
| Certified by provider | Mar 26, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 113330 | OK |
| Registered Nurse, Medical-Surgical | 163WM0705X | 113330 | OK |
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 (OK) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 102 |
|---|---|
| Services billed | 1,190 across 2 procedure codes |
| Paid by Medicare | $60,256 |
Part D prescriptions in 2024
| Prescriptions (claims) | 420 · 545 30-day fills |
|---|---|
| Patients | 225 |
| Total drug cost | $11,271 |
| Generic share | 80% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Farmers Union Hospital AssociationElk City, OK · 42 clinicians
- Michael Robinson Medical Clinic, LLCElk City, OK · 2 clinicians
Hospital affiliation
- Great Plains Regional Medical CenterElk City, OK
Industry payments (Open Payments)
- 2025$27.91 · 1 payment from 1 company
- 2024$21.00 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $27.91 | 1 |
What the 2025 payments were for
- Food and Beverage$27.91 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 25 family nurse practitioners in Elk City · All family nurse practitioners in Oklahoma