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Jaclyn Kamidoi

NPI 1992202998ActiveIndividual· Nurse Practitioner· Port Huron, MI

Nurse Practitioner in Port Huron, Michigan, licensed in MI, with an NPI issued in April 2018. Part D covered 52 prescriptions written in 2024, 94% of them generic.

Overview

NPI1992202998
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedApr 7, 2018
Last updated in NPPESApr 7, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000X18073090341MI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (MI)

Part D prescriptions in 2024

Prescriptions (claims)52 · 58 30-day fills
Patients31
Total drug cost$1,393
Generic share94% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Nurse Practitioner providers in Port Huron

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