Lauryn Jackson, PA-C
NPI 1811745458ActiveIndividual· Physician Assistant, Medical· Gilbert, AZ
Physician Assistant, Medical (PA-C) with The Little Clinic of Arizona LLC, practicing in Gilbert, Arizona. In 2024 Medicare paid $8,650 for 67 patients, and Part D covered 76 of their prescriptions, 89% of them generic. Pharmacosmos Therapeutics Inc. reported $23.42 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1811745458 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | May 8, 2024 |
| Last updated in NPPES | Jun 25, 2025 |
| Certified by provider | Jun 25, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 10391 | AZ |
| Physician Assistant | 363A00000X | 10391 | AZ |
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 - Physician Assistant (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 67 |
|---|---|
| Services billed | 191 across 17 procedure codes |
| Paid by Medicare | $8,650 |
Part D prescriptions in 2024
| Prescriptions (claims) | 76 · 77 30-day fills |
|---|---|
| Patients | 54 |
| Total drug cost | $632.12 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- The Little Clinic of Arizona LLCGilbert, AZ · 44 clinicians
Industry payments (Open Payments)
- 2024$23.42 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Pharmacosmos Therapeutics Inc. | $23.42 | 1 |
What the 2024 payments were for
- Food and Beverage$23.42 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Gilbert
- 1003589383
- 1043560337
- 1083180723
- 1093110603
- 1194245746
- 1336169077
- 1336577378
- 1487983920
- 1619673183
- 1780318238
- 1861971590
- 1952652604
All 64 physician assistants in Gilbert · All physician assistants in Arizona