Michelley Jackson, RN
NPI 1790967321ActiveIndividual· Registered Nurse· Pinon, AZ
Listed on the HHS-OIG exclusion list since November 2017 (1128b4). Registered Nurse (RN) in Pinon, Arizona, licensed in AZ, with an NPI issued in December 2007.
Overview
| NPI | 1790967321 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RN |
| Sole proprietor | No |
| NPI issued | Dec 5, 2007 |
| Last updated in NPPES | Dec 5, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse Primary | 163W00000X | RN149006 | AZ |
Exclusion screening
This NPI appears on the OIG exclusion list. Excluded parties cannot be paid by Medicare, Medicaid or other federal health care programs, directly or through an employer.
| Matched by | Name on OIG list | Exclusion type | Excluded since | Location |
|---|---|---|---|---|
| NPI | Michelley Jackson · Nurse/Nurses Aide | 1128b4 | Nov 20, 2017 | Anchorage, AK |
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | Listed (NPI) | See above |
| 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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