Kimberly Marie Jackson, ACNPC-AG
NPI 1336682780ActiveIndividual· Nurse Practitioner· Conway, SC
Nurse Practitioner (ACNPC-AG) with Orthosc LLC, practicing in Conway, South Carolina. Mostly services rather than prescriptions: Medicare paid $53,581 for 346 patients in 2024, with only 12 Part D claims. Nalu Medical, Inc. reported $147.68 in payments in 2025, mostly food and beverage. Lists Conway Medical Center as a hospital affiliation.
Overview
| NPI | 1336682780 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ACNPC-AG |
| Sole proprietor | No |
| NPI issued | Dec 2, 2016 |
| Last updated in NPPES | Jul 20, 2022 |
| Certified by provider | Jul 20, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 20986 | SC |
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 (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 346 |
|---|---|
| Services billed | 609 across 85 procedure codes |
| Paid by Medicare | $53,581 |
Part D prescriptions in 2024
| Prescriptions (claims) | 12 · 12 30-day fills |
|---|---|
| Patients | 12 |
| Total drug cost | $42.80 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Orthosc LLCMyrtle Beach, SC · 91 clinicians
Hospital affiliation
- Conway Medical CenterConway, SC
Industry payments (Open Payments)
- 2025$147.68 · 1 payment from 1 company
- 2024$99.08 · 5 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Nalu Medical, Inc. | $147.68 | 1 |
What the 2025 payments were for
- Food and Beverage$147.68 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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