Nathaniel Civili, NP
NPI 1003457276ActiveIndividual· Nurse Practitioner, Family· Castle Rock, CO
Nurse Practitioner, Family (NP) with Portercare Adventist Health System, practicing in Castle Rock, Colorado. Their prescriptions cost Medicare Part D more than their services did: $78,184 for 544 claims, against $12,068 paid for services in 2024. Pfizer Inc. was the largest of 7 companies reporting payments in 2025, $211.68 in all, mostly food and beverage. Lists Adventhealth Castle Rock as a hospital affiliation.
Overview
| NPI | 1003457276 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | Yes |
| NPI issued | Sep 30, 2019 |
| Last updated in NPPES | May 13, 2025 |
| Certified by provider | May 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | APN.0994776-NP | CO |
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 (CO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 65 |
|---|---|
| Services billed | 210 across 20 procedure codes |
| Paid by Medicare | $12,068 |
Part D prescriptions in 2024
| Prescriptions (claims) | 544 · 1,146 30-day fills |
|---|---|
| Patients | 132 |
| Total drug cost | $78,184 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Portercare Adventist Health SystemDenver, CO · 774 clinicians
Hospital affiliation
- Adventhealth Castle RockCastle Rock, CO
Industry payments (Open Payments)
- 2025$211.68 · 10 payments from 7 companies
- 2024$651.45 · 38 payments from 14 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Pfizer Inc. | $58.57 | 3 |
| Amgen Inc. | $36.46 | 2 |
| Globus Medical, Inc. | $35.00 | 1 |
| Lilly USA, LLC | $23.35 | 1 |
| Abbvie Inc. | $20.57 | 1 |
What the 2025 payments were for
- Food and Beverage$211.68 · 10 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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