Carla Marie Jackson, APRN
NPI 1710694971ActiveIndividual· Nurse Practitioner, Primary Care· Fulton, AR
Nurse Practitioner, Primary Care (APRN) with Venvisor Health of Ar PA and 1 other group, practicing in Fulton, Arkansas. Mostly services rather than prescriptions: Medicare paid $551,254 for 60 patients in 2024, with only 15 Part D claims. Lists Howard Memorial Hospital as a hospital affiliation.
Overview
| NPI | 1710694971 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | Yes |
| NPI issued | Oct 27, 2022 |
| Last updated in NPPES | Oct 27, 2022 |
| Certified by provider | Oct 27, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | 1036336 | TX |
| Clinic/Center, Infusion Therapy | 261QI0500X | 1036336 | TX |
| Clinic/Center, Primary Care | 261QP2300X | 1036336 | TX |
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 (AR); Practitioner - Nurse Practitioner (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 60 |
|---|---|
| Services billed | 881 across 26 procedure codes |
| Paid by Medicare | $551,254 |
Part D prescriptions in 2024
| Prescriptions (claims) | 15 · 17 30-day fills |
|---|---|
| Total drug cost | $5,800 |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Venvisor Health of Ar PABentonville, AR · 61 clinicians
- Hot Springs Interventional Pain Management PAHot Springs, AR · 12 clinicians
Hospital affiliation
- Howard Memorial HospitalNashville, AR
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records