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Jacob Staudt

NPI 1801586250ActiveIndividual· Student in an Organized Health Care Education/Training Program· Davenport, IA

Student in an Organized Health Care Education/Training Program with Mitchell County Memorial Hospital, practicing in Davenport, Iowa. Part D covered 1,029 prescriptions written in 2024, 88% of them generic. Lists Genesis Hlth System DBA Genesis Mdl Ctr-Illini and 2 other hospitals as hospital affiliations.

Overview

NPI1801586250
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedMay 9, 2023
Last updated in NPPESJun 26, 2023
Certified by providerJun 26, 2023

Specialties and licenses

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Family Practice (IA)

Part D prescriptions in 2024

Prescriptions (claims)1,029 · 1,666 30-day fills
Patients124
Total drug cost$81,190
Generic share88% of claims

Medicare sources and data years

Education and affiliations

Graduation year2023
Medicare specialtyFamily Practice

Medical group

Hospital affiliations

Source: CMS Care Compare

Other Student in an Organized Health Care Education/Training Program providers in Davenport

All 76 Student in an Organized Health Care Education/Training Program providers in Davenport · All Student in an Organized Health Care Education/Training Program providers in Iowa