Antonia Jackson
NPI 1356763593ActiveIndividual· Nurse Practitioner, Family· Hamilton, OH
Nurse Practitioner, Family in Hamilton, Ohio, licensed in OH, with an NPI issued in January 2014. 13 Medicare patients in 2024, $1,342 paid; nearly all of their 103 Part D prescriptions were generic (97%). Pfizer Inc. reported $18.05 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1356763593 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jan 7, 2014 |
| Last updated in NPPES | Apr 29, 2025 |
| Certified by provider | Apr 29, 2025 |
| Reactivated | Jan 13, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | APRN.CNP.0030393 | OH |
| Registered Nurse | 163W00000X | 398426 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (GA); Practitioner - Nurse Practitioner (IN); Practitioner - Nurse Practitioner (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 13 |
|---|---|
| Services billed | 24 across 10 procedure codes |
| Paid by Medicare | $1,342 |
Part D prescriptions in 2024
| Prescriptions (claims) | 103 · 106 30-day fills |
|---|---|
| Patients | 62 |
| Total drug cost | $719.87 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Industry payments (Open Payments)
- 2024$18.05 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Pfizer Inc. | $18.05 | 1 |
What the 2024 payments were for
- Food and Beverage$18.05 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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