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Alyssa Jane Jackson

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NPI Number Detailed Information

Provider Information:

Name: Alyssa Jane Jackson
Gender: F
Provider License Number If Given: 7592

NPI Information:

NPI: 1487266078
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 8/17/2020

Last Update Date: 9/28/2021

Provider Business Mailing Address:

Address: 106 MN AVE
Sebeka, MN 56477
Phone Number: 2188375333
Fax Number:

Provider Business Practice Location Address:

Address: 106 MN AVE
Sebeka, MN 56477
Phone Number: 2188375333
Fax Number:

Provider Taxonomy:

Primary: 363LF0000X
Secondary (if any): 363LF0000X
State: MN

Top Doctors in MN

 

About Alyssa Jane Jackson

Alyssa Jane Jackson ( ALYSSA JANE JACKSON ) is Definition Nurse Practitioner Physician in Sebeka, MN. The NPI Number for Alyssa Jane Jackson is 1487266078.
The current location address for Alyssa Jane Jackson is 106 MN AVE Sebeka, MN 56477 and the contact number is 2188375333 and fax number is . The mailing address for Alyssa Jane Jackson is 106 MN AVE Sebeka, MN 56477- 2188375333 (mailing address contact number - 2188375333).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Alyssa Jane Jackson ?


Answer: The NPI Number for Alyssa Jane Jackson is 1487266078

Where is Alyssa Jane Jackson located?


Answer: Alyssa Jane Jackson is located at 106 MN AVE Sebeka, MN 56477.

What is the specialty for Alyssa Jane Jackson ?


Answer: The Specialty of Alyssa Jane Jackson is Definition Nurse Practitioner Physician.

Are there any online reviews for Alyssa Jane Jackson ?


Answer: Not yet!

Are there any other health care providers in Sebeka, MN?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Alyssa Jane Jackson

Number of HCPCS 17
Number of Medicare Beneficiaries 46
Number of Services 107
Total Submitted Charge Amount 16959.81
Total Medicare Allowed Amount 9430.5
Total Medicare Payment Amount 6013.43
Total Medicare Standardized Payment Amount 6052.67
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 17
Number of Medicare Beneficiaries With Medical 46
Number of Medical Services 107
Total Medical Submitted Charge Amount 16959.81
Total Medical Medicare Allowed Amount 9430.5
Total Medical Medicare Payment Amount 6013.43
Total Medical Medicare Standardized Payment Amount 6052.67
Average Age of Beneficiaries 80
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84 21
Number of Female Beneficiaries 27
Number of Male Beneficiaries 19
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 22
Number of Beneficiaries With Medicare Only Entitlement 24
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.35
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure 0.39
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.33
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.3
Percent (%) of Beneficiaries Identified With Depression 0.61
Percent (%) of Beneficiaries Identified With Diabetes 0.35
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.52
Percent (%) of Beneficiaries Identified With Hypertension 0.65
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.59
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.54
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 2.0975

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Nurse Practitioner
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 3162
Number of Standardized 30-Day Fills 3867.9
Aggregate Cost Paid for All Claims 146907.07
Number of Day's Supply for All Claims 84727
Number of Medicare Beneficiaries 187
Number of Claims, Including Refills, for Beneficiaries Age 65+ 2832
Including Refills, for Beneficiaries Age 65+ 3498.9
Beneficiaries Age 65+ 133418.93
Number of Day's Supply for All Claims for Beneficaries Age 65+ 77162
Number of Medicare Beneficiaries Age 65+ 172
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 401
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 2727
Aggregate Cost Paid for Generic Drugs 35143.2
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 34
Aggregate Cost Paid for Other Drugs 2191.52
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 1631
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 77846.24
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 1531
Aggregate Cost Paid for Claims Filled by 69060.83
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 2154
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 100531.27
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 1008
by Low-Income Subsidy 46375.8
Total Claims of Opioid Drugs, Including 82
Aggregate Cost Paid for Opioid Drugs 3068.97
Opioid Claims 15
Opioid_Tot_Clms divided by the Tot_Clms 2.5932953827
Total Claims of Long-Acting Opioid Drugs 37
Aggregate Cost Paid for Long-Acting Opioid 2453.44
Number of Day's Supply of All Long-Acting 930
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the 45.12195122
Total Claims of Antibiotic Drugs, Including 51
Aggregate Cost Paid for Antibiotic Drugs 508.64
Antibiotic Claims 31
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 94
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 2444.45
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 14
Average Age of Beneficiaries 75.534759358
Number of Beneficiaries Age Less Than 65 15
Number of Beneficiaries Age 65 to 74 73
Number of Beneficiaries Age 75 to 84 57
Number of Female Beneficiaries 115
Number of Male Beneficiaries 72
Number of Non-Hispanic White 182
Number of Black or African American 0
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement 125
Average Hierarchical Condition Category 1.1898040528

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Alyssa Jane Jackson
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Alyssa Jane Jackson in Other Directories

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