Jacob Jackson, APRN, CNP
NPI 1134629405 · Family Nurse Practitioner · Elk City, OK
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacob Jackson, APRN, CNP is a Family Nurse Practitioner provider in Elk City, OK (NPI 1134629405).
Provider details
- NPI number
- 1134629405
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN, CNP
- Sex
- Male
- Sole proprietor
- No
- License
- 113330 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
8 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,190 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 1,156 | $62 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 34 | $104 |
Typical Medicare-allowed amounts for these services range $62–$104 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 73 | 69 |
| Pantoprazole Sodium | 70 | 48 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Peg-3350 and Electrolytes | 68 | 63 |
| Sucralfate | 38 | 25 |
| Famotidine | 37 | 22 |
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 20 | 20 |
| Doxycycline Hyclate | 13 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$21 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-02-13
- Last updated
- 2020-03-26
- Certified
- 2020-03-26
Frequently asked questions
- What is Jacob Jackson's NPI number?
- Jacob Jackson's National Provider Identifier (NPI) is 1134629405, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Jackson's specialty?
- Jacob Jackson is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jacob Jackson located?
- Jacob Jackson's practice location on file with NPPES is 1800 W 1st St Ste 105b, Elk City, OK 73644-3133.
- What is Jacob Jackson's phone number?
- The practice phone number listed in the NPPES registry for Jacob Jackson is (580) 225-2518.
- Does Jacob Jackson accept Medicare?
- Jacob Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacob Jackson's NPI active?
- Yes — Jacob Jackson's NPI (1134629405) is active in the NPPES registry as of the last update on 2020-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.