Breanne Jackson, APRN
NPI 1417788241ActiveIndividual· Nurse Practitioner· Seminole, OK
Nurse Practitioner (APRN) in Seminole, Oklahoma, trained at University of South Alabama College of Medicine (class of 2024). Mostly services rather than prescriptions: Medicare paid $1,396 for 17 patients in 2024, with only 44 Part D claims.
Overview
| NPI | 1417788241 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | No |
| NPI issued | Aug 13, 2024 |
| Last updated in NPPES | Jan 16, 2025 |
| Certified by provider | Jan 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 2197444 | OK |
| Nurse Practitioner, Family | 363LF0000X | 219744 | OK |
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 (OK) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 17 |
|---|---|
| Services billed | 48 across 7 procedure codes |
| Paid by Medicare | $1,396 |
Part D prescriptions in 2024
| Prescriptions (claims) | 44 · 44 30-day fills |
|---|---|
| Patients | 29 |
| Total drug cost | $394.74 |
| Generic share | 98% of claims |
Education and affiliations
| Medical school | University of South Alabama College of Medicine |
|---|---|
| Graduation year | 2024 |
| Medicare specialty | Nurse Practitioner |
Medical group
- Emergency Services of Oklahoma PCGrove, OK · 66 clinicians
Hospital affiliation
- Integris Baptist Medical Center, IncOklahoma City, OK
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner providers in Seminole
- 1316983075
- 1467172783