Lyndon Jackson Jr.
NPI 1467394478ActiveIndividual· Nurse Practitioner· Dorchester, MA
Nurse Practitioner in Dorchester, Massachusetts, licensed in MA, with an NPI issued in April 2026. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1467394478 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 8, 2026 |
| Last updated in NPPES | May 1, 2026 |
| Certified by provider | May 1, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | RN2379126 | MA |
| Registered Nurse, Oncology | 163WX0200X | RN2379126 | MA |
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 (MA) |
|---|
Education and affiliations
| Graduation year | 2026 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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