Karissa Keagan Jackson, ACNPC-AG
NPI 1164055109ActiveIndividual· Nurse Practitioner, Acute Care· Park City, UT
Nurse Practitioner, Acute Care (ACNPC-AG) in Park City, Utah, licensed in UT, with an NPI issued in February 2020. Part D covered 78 prescriptions written in 2024, 90% of them generic. Shield Therapeutics Inc reported $37.58 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1164055109 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ACNPC-AG |
| Sole proprietor | No |
| NPI issued | Feb 18, 2020 |
| Last updated in NPPES | Jun 2, 2024 |
| Certified by provider | Mar 8, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | 7120828-4405 | UT |
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 (UT) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 78 · 197 30-day fills |
|---|---|
| Patients | 19 |
| Total drug cost | $3,325 |
| Generic share | 90% of claims |
Industry payments (Open Payments)
- 2025$37.58 · 2 payments from 1 company
- 2024$43.09 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Shield Therapeutics Inc | $37.58 | 2 |
What the 2025 payments were for
- Food and Beverage$37.58 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other acute care nurse practitioners in Park City
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