Nicole Jackson, FNP, PMHNP
NPI 1366974628ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Dover, DE
Nurse Practitioner, Psych/Mental Health (FNP, PMHNP) with A Peaceful Place Integrated Care, practicing in Dover, Delaware. Their prescriptions cost Medicare Part D more than their services did: $146,817 for 1,358 claims, against $18,161 paid for services in 2024. Novo Nordisk Inc was the largest of 2 companies reporting payments in 2025, $40.22 in all, mostly food and beverage.
Overview
| NPI | 1366974628 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP, PMHNP |
| Sole proprietor | No |
| NPI issued | Mar 28, 2017 |
| Last updated in NPPES | Feb 20, 2023 |
| Certified by provider | Feb 20, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | L80010226 | DE |
| Nurse Practitioner | 363L00000X | LG0001029 | DE |
| Nurse Practitioner, Family | 363LF0000X | LG0001029 | DE |
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 (DE) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 42 |
|---|---|
| Services billed | 284 across 8 procedure codes |
| Paid by Medicare | $18,161 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,358 · 2,054 30-day fills |
|---|---|
| Patients | 73 |
| Total drug cost | $146,817 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- A Peaceful Place Integrated CareDover, DE · 5 clinicians
Industry payments (Open Payments)
- 2025$40.22 · 2 payments from 2 companies
- 2024$365.44 · 17 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $23.84 | 1 |
| Indivior Inc. | $16.38 | 1 |
What the 2025 payments were for
- Food and Beverage$40.22 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 57 psychiatric nurse practitioners in Dover · All psychiatric nurse practitioners in Delaware