Jaclyn Nicole Donovan, AGACNP-BC
NPI 1952918849ActiveIndividual· Nurse Practitioner· Jackson, MI
Nurse Practitioner (AGACNP-BC) with W.A. Foote Memorial Hospital, practicing in Jackson, Michigan. Their prescriptions cost Medicare Part D more than their services did: $132,141 for 1,328 claims, against $16,081 paid for services in 2024. Novo Nordisk Inc reported $16.57 in payments in 2025, mostly food and beverage. Lists Henry Ford Allegiance Health as a hospital affiliation.
Overview
| NPI | 1952918849 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AGACNP-BC |
| Sole proprietor | No |
| NPI issued | Sep 25, 2020 |
| Last updated in NPPES | Sep 25, 2020 |
| Certified by provider | Sep 25, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 4704295696 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 260 |
|---|---|
| Services billed | 358 across 24 procedure codes |
| Paid by Medicare | $16,081 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,328 · 2,360 30-day fills |
|---|---|
| Patients | 460 |
| Total drug cost | $132,141 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- W.A. Foote Memorial HospitalJackson, MI · 476 clinicians
Hospital affiliation
- Henry Ford Allegiance HealthJackson, MI
Industry payments (Open Payments)
- 2025$16.57 · 1 payment from 1 company
- 2024$192.40 · 6 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $16.57 | 1 |
What the 2025 payments were for
- Food and Beverage$16.57 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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