Jaclyn Noel Marie Jezak, CNP
NPI 1922764760ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Fremont, OH
Nurse Practitioner, Psych/Mental Health (CNP) with Promedica Central Physicians and 1 other group, practicing in Fremont, Ohio. Their prescriptions cost Medicare Part D more than their services did: $76,091 for 939 claims, against $7,608 paid for services in 2024. Abbvie Inc. was the largest of 17 companies reporting payments in 2025, $1,193 in all, mostly food and beverage. Lists Memorial Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1922764760 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CNP |
| Sole proprietor | No |
| NPI issued | Nov 16, 2021 |
| Last updated in NPPES | Nov 3, 2023 |
| Certified by provider | Nov 22, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | APRN.CNP.0030241 | OH |
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 (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 25 |
|---|---|
| Services billed | 122 across 8 procedure codes |
| Paid by Medicare | $7,608 |
Part D prescriptions in 2024
| Prescriptions (claims) | 939 · 1,346 30-day fills |
|---|---|
| Patients | 95 |
| Total drug cost | $76,091 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical groups
- Promedica Central PhysiciansToledo, OH · 785 clinicians
- Memorial Professional Services LtdFremont, OH · 40 clinicians
Hospital affiliations
- Memorial HospitalFremont, OH
- Promedica Toledo HospitalToledo, OH
Industry payments (Open Payments)
- 2025$1,193 · 53 payments from 17 companies
- 2024$1,154 · 52 payments from 15 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $245.87 | 13 |
| Alkermes, Inc. | $148.14 | 9 |
| Neurocrine Biosciences, Inc. | $107.82 | 5 |
| Sanofi-Aventis U.S. LLC | $99.19 | 1 |
| Teva Pharmaceuticals USA, Inc. | $79.32 | 4 |
What the 2025 payments were for
- Food and Beverage$1,193 · 53 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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