Jennifer Nicole Jackson, ACNP
NPI 1629285457ActiveIndividual· Nurse Practitioner· Lake Forest, IL
Nurse Practitioner (ACNP) in Lake Forest, Illinois, trained at Loyola University of Chicago, Stritch School of Medicine (class of 2005). 36 Medicare patients in 2024, $3,181 paid; nearly all of their 85 Part D prescriptions were generic (96%).
Overview
| NPI | 1629285457 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ACNP |
| Sole proprietor | Yes |
| NPI issued | May 17, 2007 |
| Last updated in NPPES | Feb 4, 2020 |
| Certified by provider | Feb 4, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209005759 | IL |
| Nurse Practitioner, Acute Care | 363LA2100X | 209005759 | 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) | Enrolled Practitioner - Nurse Practitioner (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 36 |
|---|---|
| Services billed | 43 across 14 procedure codes |
| Paid by Medicare | $3,181 |
Part D prescriptions in 2024
| Prescriptions (claims) | 85 · 85 30-day fills |
|---|---|
| Patients | 63 |
| Total drug cost | $742.44 |
| Generic share | 96% of claims |
Education and affiliations
| Medical school | Loyola University of Chicago, Stritch School of Medicine |
|---|---|
| Graduation year | 2005 |
| Medicare specialty | Nurse Practitioner |
Medical group
- Northwestern Medical Faculty FoundationChicago, IL · 4,503 clinicians
Hospital affiliation
- Northwestern Lake Forest HospitalLake Forest, IL
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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All 41 nurse practitioners in Lake Forest · All nurse practitioners in Illinois