Jackie Mae Mathews, NP
NPI 1679461081ActiveIndividual· Nurse Practitioner, Neonatal· La Crosse, WI
Nurse Practitioner, Neonatal (NP) in La Crosse, Wisconsin, trained at Rush Medical College of Rush University (class of 2025). Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1679461081 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Jun 25, 2025 |
| Last updated in NPPES | Sep 11, 2026 |
| Certified by provider | Sep 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Neonatal Primary | 363LN0000X | 16966-33 | WI |
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 (WI) |
|---|
Education and affiliations
| Medical school | Rush Medical College of Rush University |
|---|---|
| Graduation year | 2025 |
| Medicare specialty | Nurse Practitioner |
Medical group
- Gundersen Lutheran Medical Center IncLa Crosse, WI · 895 clinicians
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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