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Jacqueline Powell Fick, DMD

NPI 1205433109ActiveIndividual· Dentist, General Practice· Papillion, NE

Dentist, General Practice (DMD) in Papillion, Nebraska, licensed in NE and AL, with an NPI issued in October 2020. Part D covered 17 prescriptions written in 2024, 82% of them generic.

Overview

NPI1205433109
StatusActive
Entity typeIndividual
CredentialDMD
Sole proprietorNo
NPI issuedOct 4, 2020
Last updated in NPPESJul 25, 2023
Certified by providerJul 25, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X7771NE
Dentist122300000X0006817-C1AL

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)Enrolled Order and Referring Only - Dentist (AL)

Part D prescriptions in 2024

Prescriptions (claims)17 · 19 30-day fills
Patients12
Total drug cost$83.09
Generic share82% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

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

Other Dentist, General Practice providers in Papillion

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