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Mary Marie Jackson, PMHNP-BC

NPI 1215637301ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Anderson, SC

Nurse Practitioner, Psych/Mental Health (PMHNP-BC) with Upstate Wellness Center LLC, practicing in Anderson, South Carolina. Their prescriptions cost Medicare Part D more than their services did: $199,604 for 2,752 claims, against $13,472 paid for services in 2024. Abbvie Inc. was the largest of 11 companies reporting payments in 2025, $990.89 in all, mostly food and beverage.

Overview

NPI1215637301
StatusActive
Entity typeIndividual
CredentialPMHNP-BC
Sole proprietorYes
NPI issuedMar 7, 2023
Last updated in NPPESNov 8, 2024
Certified by providerNov 8, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Psych/Mental Health Primary363LP0808X27133SC

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

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

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (SC)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients57
Services billed249 across 7 procedure codes
Paid by Medicare$13,472

Part D prescriptions in 2024

Prescriptions (claims)2,752 · 3,293 30-day fills
Patients222
Total drug cost$199,604
Generic share94% of claims

Medicare sources and data years

Education and affiliations

Graduation year2022
Medicare specialtyNurse Practitioner

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$990.89 · 48 payments from 11 companies
  • 2024$783.08 · 43 payments from 9 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$990.89 · 48 payments

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

Other psychiatric nurse practitioners in Anderson

All 28 psychiatric nurse practitioners in Anderson · All psychiatric nurse practitioners in South Carolina