Jacqueline Anderson
NPI 1205245255ActiveIndividual· Nurse Practitioner, Family· Santa Rosa, CA
Nurse Practitioner, Family in Santa Rosa, California, trained at Georgetown University School of Medicine (class of 2014). Their prescriptions cost Medicare Part D more than their services did: $312,885 for 3,968 claims, against $128,795 paid for services in 2024. Pfizer Inc. reported $16.51 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1205245255 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Aug 4, 2014 |
| Last updated in NPPES | Oct 14, 2021 |
| Certified by provider | Oct 14, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 95000793 | CA |
| Nurse Practitioner | 363L00000X | 95000793 | CA |
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 (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 362 |
|---|---|
| Services billed | 6,367 across 53 procedure codes |
| Paid by Medicare | $128,795 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,968 · 8,579 30-day fills |
|---|---|
| Patients | 384 |
| Total drug cost | $312,885 |
| Generic share | 89% of claims |
Education and affiliations
| Medical school | Georgetown University School of Medicine |
|---|---|
| Graduation year | 2014 |
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Providence Medical FoundationVictorville, CA · 1,466 clinicians
Hospital affiliations
- Healdsburg HospitalHealdsburg, CA
- Providence Santa Rosa Memorial HospitalSanta Rosa, CA
Other facilities
- Providence at Home With Compassus Home Health, SonomaHome health agency · Santa Rosa, CA
- Sutter Care at HomeHome health agency · Santa Rosa, CA
Industry payments (Open Payments)
- 2025$16.51 · 1 payment from 1 company
- 2024$91.63 · 3 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Pfizer Inc. | $16.51 | 1 |
What the 2025 payments were for
- Food and Beverage$16.51 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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