Chau N. Jackson, AGPCNP-BC
NPI 1336650795ActiveIndividual· Nurse Practitioner· Marion, IN
Nurse Practitioner (AGPCNP-BC) in Marion, Indiana, licensed in IN, with an NPI issued in October 2017. Part D covered 190 prescriptions written in 2024, 85% of them generic.
Overview
| NPI | 1336650795 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AGPCNP-BC |
| Sole proprietor | No |
| NPI issued | Oct 12, 2017 |
| Last updated in NPPES | Sep 26, 2023 |
| Certified by provider | Sep 26, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 71007563A | IN |
| Nurse Practitioner, Adult Health | 363LA2200X | 71007563A | IN |
| Nurse Practitioner, Gerontology | 363LG0600X | 71007563A | IN |
| Nurse Practitioner, Primary Care | 363LP2300X | 71007563A | 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 Order and Referring Only - Nurse Practitioner (IN) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 190 · 503 30-day fills |
|---|---|
| Patients | 20 |
| Total drug cost | $10,289 |
| Generic share | 85% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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