Jacqueline Kimball
NPI 1447676002ActiveIndividual· Nurse Practitioner· Clearwater, FL
Nurse Practitioner in Clearwater, Florida, licensed in FL and IL, with an NPI issued in March 2014. Part D covered 37 prescriptions written in 2024, 86% of them generic. Glaxosmithkline, LLC. reported $19.00 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1447676002 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Mar 6, 2014 |
| Last updated in NPPES | Jul 29, 2021 |
| Certified by provider | Jul 29, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 11003804 | FL |
| Nurse Practitioner | 363L00000X | 209.011296 | IL |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 37 · 99 30-day fills |
|---|---|
| Patients | 20 |
| Total drug cost | $307.22 |
| Generic share | 86% of claims |
Industry payments (Open Payments)
- 2025$19.00 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Glaxosmithkline, LLC. | $19.00 | 1 |
What the 2025 payments were for
- Food and Beverage$19.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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