Jacqulyne S. Booker, ANP
NPI 1316991557ActiveIndividual· Nurse Practitioner· Bloomington, IN
Nurse Practitioner (ANP) with Iu Health Medical Group LLC and 1 other group, practicing in Bloomington, Indiana. Their prescriptions cost Medicare Part D more than their services did: $207,161 for 1,781 claims, against $7,507 paid for services in 2024. Dynavax Technologies Corporation reported $13.73 in payments in 2025, mostly food and beverage. Lists Indiana University Health Bloomington Hospital as a hospital affiliation.
Overview
| NPI | 1316991557 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ANP |
| Sole proprietor | No |
| NPI issued | May 20, 2006 |
| Last updated in NPPES | Dec 2, 2020 |
| Certified by provider | Dec 2, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 71001863 | IN |
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 (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 79 |
|---|---|
| Services billed | 172 across 26 procedure codes |
| Paid by Medicare | $7,507 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,781 · 4,045 30-day fills |
|---|---|
| Patients | 197 |
| Total drug cost | $207,161 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Iu Health Medical Group LLCIndianapolis, IN · 4,462 clinicians
- Indiana University Health Southern Indiana Physicians LLCBloomington, IN · 463 clinicians
Hospital affiliation
- Indiana University Health Bloomington HospitalBloomington, IN
Industry payments (Open Payments)
- 2025$13.73 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Dynavax Technologies Corporation | $13.73 | 1 |
What the 2025 payments were for
- Food and Beverage$13.73 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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