Jennifer Renea McCullough, RN
NPI 1578115903ActiveIndividual· Nurse Practitioner, Primary Care· Taylorsville, UT
Nurse Practitioner, Primary Care (RN) in Taylorsville, Utah, licensed in UT, with an NPI issued in July 2019. Part D covered 455 prescriptions written in 2024, 85% of them generic.
Overview
| NPI | 1578115903 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RN |
| Sole proprietor | No |
| NPI issued | Jul 16, 2019 |
| Last updated in NPPES | Dec 21, 2020 |
| Certified by provider | Dec 21, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | 5643351-4405 | UT |
| Registered Nurse | 163W00000X | 5643351-3102 | UT |
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) | 455 · 1,129 30-day fills |
|---|---|
| Patients | 59 |
| Total drug cost | $45,878 |
| Generic share | 85% of claims |
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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