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NPI 1003191883ActiveIndividual· Nurse Practitioner, Acute Care· Philadelphia, PA

Nurse Practitioner, Acute Care with Trinity Health Mid-Atlantic Medical Group, practicing in Philadelphia, Pennsylvania. Mostly services rather than prescriptions: Medicare paid $18,004 for 129 patients in 2024, with only 30 Part D claims. Organogenesis Inc. was the largest of 4 companies reporting payments in 2025, $192.25 in all, mostly food and beverage. Lists Mercy Catholic Medical Center- Mercy Fitzgerald as a hospital affiliation.

Overview

NPI1003191883
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedOct 12, 2011
Last updated in NPPESMar 7, 2017

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Acute Care Primary363LA2100XSP011398PA
Nurse Practitioner363L00000X26NJ00412700NJ

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 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

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

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (PA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients129
Services billed319 across 18 procedure codes
Paid by Medicare$18,004

Part D prescriptions in 2024

Prescriptions (claims)30 · 35 30-day fills
Patients20
Total drug cost$7,833
Generic share63% of claims

Medicare sources and data years

Education and affiliations

Graduation year2009
Medicare specialtyNurse Practitioner

Medical group

Hospital affiliation

Other facilities

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$192.25 · 5 payments from 4 companies
  • 2024$22.22 · 1 payment from 1 company

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$192.25 · 5 payments

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

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