Samala Jackson, CRNP
NPI 1184362600 · Gerontology Nurse Practitioner · Berwyn, PA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samala Jackson, CRNP is a Gerontology Nurse Practitioner provider in Berwyn, PA (NPI 1184362600).
Provider details
- NPI number
- 1184362600
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- SP018935 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
4 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
352 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) |
|---|---|---|
| Residence Visit for Established Patient With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99349 | 334 | $109 |
| Administration of Influenza Virus VaccineG0008 | 18 | $31 |
Typical Medicare-allowed amounts for these services range $31–$109 (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 · 136 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 262 | 54 |
| Gabapentin | 183 | 40 |
| Levothyroxine Sodium | 178 | 29 |
| Furosemide | 177 | 38 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 149 | 34 |
| Carvedilol | 140 | 27 |
| Amlodipine Besylate | 138 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$18 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
Additional practice locations (2)
- 9200 Bustleton Ave Apt 1705Philadelphia, PA 19115-4230Phone: (215) 760-6386
- 3621 Aramingo Ave Ste 5cPhiladelphia, PA 19134-4607Phone: (215) 444-7472Fax: (215) 979-6726
Registry dates
- Enumerated
- 2022-05-24
- Last updated
- 2025-10-24
- Certified
- 2025-10-24
Frequently asked questions
- What is Samala Jackson's NPI number?
- Samala Jackson's National Provider Identifier (NPI) is 1184362600, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samala Jackson's specialty?
- Samala Jackson is listed in the NPPES registry with a primary specialty of Gerontology Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Samala Jackson located?
- Samala Jackson's practice location on file with NPPES is 1055 Westlakes Dr Ste 3152, Berwyn, PA 19312-2410.
- What is Samala Jackson's phone number?
- The practice phone number listed in the NPPES registry for Samala Jackson is (215) 346-6050.
- Does Samala Jackson accept Medicare?
- Samala Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samala Jackson's NPI active?
- Yes — Samala Jackson's NPI (1184362600) is active in the NPPES registry as of the last update on 2025-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.