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Jordan Roberson, PMHNP-C

NPI 1669965000ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Daytona Beach, FL

Nurse Practitioner, Psych/Mental Health (PMHNP-C) with Kopa LLC, practicing in Daytona Beach, Florida. Part D covered 13 prescriptions written in 2024, 100% of them generic. Impulse Dynamics (USA) Inc. reported $35.44 in payments in 2024, mostly food and beverage.

Overview

NPI1669965000
StatusActive
Entity typeIndividual
CredentialPMHNP-C
Sole proprietorYes
NPI issuedJun 11, 2018
Last updated in NPPESJun 17, 2026
Certified by providerJun 17, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Psych/Mental Health Primary363LP0808XAPRN9410928FL

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 (FL)

Part D prescriptions in 2024

Prescriptions (claims)13 · 19 30-day fills
Total drug cost$167.57
Generic share100% of claims

Medicare sources and data years

Education and affiliations

Graduation year2025
Medicare specialtyNurse Practitioner

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2024$35.44 · 2 payments from 1 company

Top paying companies in 2024

CompanyAmountPayments
Impulse Dynamics (USA) Inc.$35.442

What the 2024 payments were for

  • Food and Beverage$35.44 · 2 payments

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

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