Warren Orlando Jackson, AGNP
NPI 1548718448ActiveIndividual· Nurse Practitioner, Gerontology· Bridgeton, MO
Nurse Practitioner, Gerontology (AGNP) with Galen Inpatient Physicians PC, practicing in Bridgeton, Missouri. Medicare paid $22,084 for services to 177 patients in 2024. Lists Ssm St Clare Health Center as a hospital affiliation.
Overview
| NPI | 1548718448 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AGNP |
| Sole proprietor | No |
| NPI issued | Sep 20, 2016 |
| Last updated in NPPES | Sep 20, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | 2016024362 | MO |
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 (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 177 |
|---|---|
| Services billed | 252 across 8 procedure codes |
| Paid by Medicare | $22,084 |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Galen Inpatient Physicians PCHanford, CA · 1,077 clinicians
Hospital affiliation
- Ssm St Clare Health CenterFenton, MO
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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