Chanell Shannon Jackson, NMW, WHNP
NPI 1356011597ActiveIndividual· Midwife· Culver City, CA
Midwife (NMW, WHNP) with Southern California Permanente Medical Group, practicing in Culver City, California. Part D covered 17 prescriptions written in 2024, 65% of them generic.
Overview
| NPI | 1356011597 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NMW, WHNP |
| Sole proprietor | No |
| NPI issued | Sep 19, 2021 |
| Last updated in NPPES | Mar 30, 2022 |
| Certified by provider | Sep 19, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Midwife Primary | 176B00000X | 236061 | CA |
| Nurse Practitioner, Women's Health | 363LW0102X | 236061 | CA |
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 - Certified Nurse Midwife (Cnm) (CA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 17 · 44 30-day fills |
|---|---|
| Patients | 13 |
| Total drug cost | $2,851 |
| Generic share | 65% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Certified Nurse Midwife (Cnm) |
Medical group
- Southern California Permanente Medical GroupRedlands, CA · 11,293 clinicians
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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