Megan Elizabeth Kretz, MSN, FNP-BC
NPI 1003471863ActiveIndividual· Otolaryngology· Hannibal, MO
Otolaryngology (MSN, FNP-BC) with Hannibal Regional Healthcare System Inc, practicing in Hannibal, Missouri. 208 Medicare patients in 2024, $13,738 paid; nearly all of their 157 Part D prescriptions were generic (94%). Regeneron Healthcare Solutions, Inc. was the largest of 5 companies reporting payments in 2025, $230.72 in all, mostly food and beverage. Lists Hannibal Regional Hospital as a hospital affiliation.
Overview
| NPI | 1003471863 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSN, FNP-BC |
| Sole proprietor | No |
| NPI issued | May 7, 2019 |
| Last updated in NPPES | Oct 31, 2026 |
| Certified by provider | Oct 31, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Otolaryngology Primary | 207Y00000X | 2019021627 | MO |
| Registered Nurse | 163W00000X | 2018036838 | MO |
| Registered Nurse | 163W00000X | 041401726 | IL |
| Nurse Practitioner, Family | 363LF0000X | 2019021627 | MO |
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 (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 208 |
|---|---|
| Services billed | 353 across 27 procedure codes |
| Paid by Medicare | $13,738 |
Part D prescriptions in 2024
| Prescriptions (claims) | 157 · 165 30-day fills |
|---|---|
| Patients | 119 |
| Total drug cost | $1,991 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Hannibal Regional Healthcare System IncHannibal, MO · 272 clinicians
Hospital affiliation
- Hannibal Regional HospitalHannibal, MO
Industry payments (Open Payments)
- 2025$230.72 · 9 payments from 5 companies
- 2024$299.89 · 8 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Regeneron Healthcare Solutions, Inc. | $92.74 | 4 |
| Sanofi-Aventis U.S. LLC | $52.99 | 1 |
| Integra Lifesciences Corporation | $37.26 | 1 |
| Genzyme Corporation | $31.06 | 2 |
| Glaxosmithkline, LLC. | $16.67 | 1 |
What the 2025 payments were for
- Food and Beverage$177.73 · 8 payments
- Education$52.99 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records