Nancy Marie Smyth, ARNP
NPI 1003352907ActiveIndividual· Nurse Practitioner, Family· Greensboro, NC
Nurse Practitioner, Family (ARNP) with Legacy Healthcare Services Inc and 1 other group, practicing in Greensboro, North Carolina. Their prescriptions cost Medicare Part D more than their services did: $257,410 for 2,675 claims, against $56,158 paid for services in 2024. Lilly USA, LLC was the largest of 5 companies reporting payments in 2025, $221.06 in all, mostly food and beverage. Lists Firsthealth Moore Regional Hospital as a hospital affiliation.
Overview
| NPI | 1003352907 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ARNP |
| Sole proprietor | No |
| NPI issued | Jan 16, 2017 |
| Last updated in NPPES | Jan 12, 2026 |
| Certified by provider | Jan 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 5016053 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 232 |
|---|---|
| Services billed | 1,017 across 39 procedure codes |
| Paid by Medicare | $56,158 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,675 · 5,942 30-day fills |
|---|---|
| Patients | 347 |
| Total drug cost | $257,410 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Legacy Healthcare Services IncGreenville, SC · 3,223 clinicians
- Ih Physician Services PCSouthern Pines, NC · 57 clinicians
Hospital affiliation
- Firsthealth Moore Regional HospitalPinehurst, NC
Industry payments (Open Payments)
- 2025$221.06 · 11 payments from 5 companies
- 2024$387.95 · 27 payments from 8 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $74.74 | 3 |
| Novo Nordisk Inc | $68.47 | 4 |
| Exact Sciences Corporation | $38.77 | 2 |
| Esperion Therapeutics, Inc. | $20.06 | 1 |
| Glaxosmithkline, LLC. | $19.02 | 1 |
What the 2025 payments were for
- Food and Beverage$176.06 · 10 payments
- Education$45.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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