NPI Lens

Nichole Rose Jackson, NP-C

NPI 1184988438ActiveIndividual· Nurse Practitioner· Fargo, ND

Opted out of Medicare from October 2016 to October 2028. Nurse Practitioner (NP-C) in Fargo, North Dakota, licensed in ND, with an NPI issued in July 2012. Part D covered 84 prescriptions written in 2024, 61% of them generic. Abbvie Inc. reported $62.58 in payments in 2024, mostly food and beverage.

Overview

NPI1184988438
StatusActive
Entity typeIndividual
CredentialNP-C
Sole proprietorNo
NPI issuedJul 2, 2012
Last updated in NPPESSep 23, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000XR31008ND

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Oct 1, 2016 – Oct 1, 2028
Can order and referYes

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Part D prescriptions in 2024

Prescriptions (claims)84 · 114 30-day fills
Patients12
Total drug cost$24,955
Generic share61% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2024$62.58 · 3 payments from 1 company

Top paying companies in 2024

CompanyAmountPayments
Abbvie Inc.$62.583

What the 2024 payments were for

  • Food and Beverage$62.58 · 3 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Nurse Practitioner providers in Fargo

All Nurse Practitioner providers in North Dakota →