Samala Jackson, CRNP
NPI 1184362600ActiveIndividual· Nurse Practitioner, Gerontology· Berwyn, PA
Nurse Practitioner, Gerontology (CRNP) with Vpa PC, practicing in Berwyn, Pennsylvania. Their prescriptions cost Medicare Part D more than their services did: $420,994 for 5,874 claims, against $26,974 paid for services in 2024. Lundbeck LLC reported $18.18 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1184362600 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNP |
| Sole proprietor | Yes |
| NPI issued | May 24, 2022 |
| Last updated in NPPES | Oct 24, 2025 |
| Certified by provider | Oct 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | SP018935 | PA |
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 (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 87 |
|---|---|
| Services billed | 386 across 10 procedure codes |
| Paid by Medicare | $26,974 |
Part D prescriptions in 2024
| Prescriptions (claims) | 5,874 · 8,031 30-day fills |
|---|---|
| Patients | 227 |
| Total drug cost | $420,994 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Vpa PCRenton, WA · 178 clinicians
Other facilities
- Accentcare Health of PennsylvaniaHome health agency · Bristol, PA
- Bayada Home Health Care, Inc.Home health agency · Jamison, PA
- Jefferson Health at Home By BayadaHome health agency · Philadelphia, PA
- Mercy Home HealthHome health agency · Newtown, PA
- Premier Home Care IncHome health agency · Huntingdon Valley, PA
Industry payments (Open Payments)
- 2024$18.18 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Lundbeck LLC | $18.18 | 1 |
What the 2024 payments were for
- Food and Beverage$18.18 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records