Jaclynn Pauline Back, APRN
NPI 1770835506ActiveIndividual· Nurse Practitioner, Family· Newark, OH
Nurse Practitioner, Family (APRN) with Boulder Care Provider Group PA, practicing in Newark, Ohio. Part D covered 244 prescriptions written in 2024, 78% of them generic. Indivior Inc. reported $55.54 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1770835506 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | Yes |
| NPI issued | Oct 3, 2012 |
| Last updated in NPPES | Oct 3, 2024 |
| Certified by provider | Oct 3, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | APRN.CNP.13665 | OH |
| Registered Nurse | 163W00000X | RN.313249 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (NC); Practitioner - Nurse Practitioner (OH); Practitioner - Nurse Practitioner (OR); Practitioner - Nurse Practitioner (WA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 244 · 244 30-day fills |
|---|---|
| Patients | 26 |
| Total drug cost | $55,007 |
| Generic share | 78% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Boulder Care Provider Group PAShaker Heights, OH · 119 clinicians
Industry payments (Open Payments)
- 2024$55.54 · 2 payments from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Indivior Inc. | $55.54 | 2 |
What the 2024 payments were for
- Food and Beverage$55.54 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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