Kimberly Ann Jackson, N.P.
NPI 1699001289ActiveIndividual· Nurse Practitioner· Mount Vernon, IN
Nurse Practitioner (N.P.) in Mount Vernon, Indiana, licensed in IN, with an NPI issued in November 2009. 113 Medicare patients in 2024, $9,273 paid; nearly all of their 161 Part D prescriptions were generic (98%). Novo Nordisk Inc reported $59.70 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1699001289 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | N.P. |
| Sole proprietor | No |
| NPI issued | Nov 2, 2009 |
| Last updated in NPPES | Jan 3, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 71003090A | IN |
| Nurse Practitioner, Family | 363LF0000X | 71003090A | IN |
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 (IN); Practitioner - Nurse Practitioner (KY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 113 |
|---|---|
| Services billed | 218 across 17 procedure codes |
| Paid by Medicare | $9,273 |
Part D prescriptions in 2024
| Prescriptions (claims) | 161 · 167 30-day fills |
|---|---|
| Patients | 119 |
| Total drug cost | $1,131 |
| Generic share | 98% of claims |
Industry payments (Open Payments)
- 2025$59.70 · 2 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $59.70 | 2 |
What the 2025 payments were for
- Food and Beverage$59.70 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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