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Jacklyn Bradley, PA-C

NPI 1790141976ActiveIndividual· Physician Assistant· Cranston, RI

Physician Assistant (PA-C) in Cranston, Rhode Island, with an NPI issued in January 2016. Their prescriptions cost Medicare Part D more than their services did: $84,915 for 1,923 claims, against $3,000 paid for services in 2024. Novo Nordisk Inc reported $17.84 in payments in 2025, mostly food and beverage.

Overview

NPI1790141976
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedJan 4, 2016
Last updated in NPPESJan 4, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X——

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 - Physician Assistant (RI)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients27
Services billed41 across 2 procedure codes
Paid by Medicare$3,000

Part D prescriptions in 2024

Prescriptions (claims)1,923 · 1,923 30-day fills
Patients146
Total drug cost$84,915
Generic share75% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$17.84 · 1 payment from 1 company
  • 2024$90.18 · 1 payment from 1 company

Top paying companies in 2025

CompanyAmountPayments
Novo Nordisk Inc$17.841

What the 2025 payments were for

  • Food and Beverage$17.84 · 1 payment

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

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