Simone D. Jackson, ANP
NPI 1871041657ActiveIndividual· Nurse Practitioner, Adult Health· Horsham, PA
Nurse Practitioner, Adult Health (ANP) with Villagehealth Dm LLC, practicing in Horsham, Pennsylvania. Part D covered 33 prescriptions written in 2024, 100% of them generic.
Overview
| NPI | 1871041657 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ANP |
| Sole proprietor | Yes |
| NPI issued | Sep 21, 2016 |
| Last updated in NPPES | Oct 31, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | SP019087 | PA |
| Nurse Practitioner, Adult Health | 363LA2200X | RN162091 | GA |
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 - Nurse Practitioner (GA); Practitioner - Nurse Practitioner (IL); Practitioner - Nurse Practitioner (NJ); Practitioner - Nurse Practitioner (PA); Practitioner - Nurse Practitioner (VA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 33 · 33 30-day fills |
|---|---|
| Total drug cost | $1,075 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Villagehealth Dm LLCKellogg, IA · 160 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 16 adult health nurse practitioners in Horsham · All adult health nurse practitioners in Pennsylvania