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Mary Hannah Bucklew, NP

NPI 1467024901ActiveIndividual· Nurse Practitioner· Jackson, MS

Nurse Practitioner (NP) with Mississippi Sports Medicine and Orthopaedic Center, practicing in Jackson, Mississippi. 435 Medicare patients in 2024, $69,914 paid; all of their 389 Part D prescriptions were generic. Novo Nordisk Inc reported $17.99 in payments in 2024, mostly food and beverage. Lists King's Daughters Medical Center-Brookhaven and 2 other hospitals as hospital affiliations.

Overview

NPI1467024901
StatusActive
Entity typeIndividual
CredentialNP
Sole proprietorNo
NPI issuedJul 14, 2021
Last updated in NPPESFeb 5, 2024
Certified by providerFeb 5, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000X904350MS

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (MS)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients435
Services billed4,052 across 42 procedure codes
Paid by Medicare$69,914

Part D prescriptions in 2024

Prescriptions (claims)389 · 416 30-day fills
Patients186
Total drug cost$3,669
Generic share100% of claims

Medicare sources and data years

Education and affiliations

Graduation year2020
Medicare specialtyNurse Practitioner

Medical group

Hospital affiliations

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2024$17.99 · 1 payment from 1 company

Top paying companies in 2024

CompanyAmountPayments
Novo Nordisk Inc$17.991

What the 2024 payments were for

  • Food and Beverage$17.99 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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