Tracy Candace W. Degenstein, ARNP
NPI 1003895533ActiveIndividual· Nurse Practitioner, Family· Richland, WA
Nurse Practitioner, Family (ARNP) with Multicare Health System and 2 other groups, practicing in Richland, Washington. Their prescriptions cost Medicare Part D more than their services did: $222,368 for 1,394 claims, against $50,500 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 19 companies reporting payments in 2025, $2,174 in all, mostly food and beverage. Lists Kadlec Regional Medical Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1003895533 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ARNP |
| Sole proprietor | No |
| NPI issued | Jan 12, 2006 |
| Last updated in NPPES | May 23, 2024 |
| Certified by provider | May 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | AP30004407 | WA |
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 (OR); Practitioner - Nurse Practitioner (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 257 |
|---|---|
| Services billed | 1,169 across 71 procedure codes |
| Paid by Medicare | $50,500 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,394 · 2,929 30-day fills |
|---|---|
| Patients | 224 |
| Total drug cost | $222,368 |
| Generic share | 83% of claims |
Education and affiliations
| Graduation year | 1995 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Multicare Health SystemTacoma, WA · 2,325 clinicians
- Three Rivers Urgent Care LLCWest Richland, WA · 8 clinicians
- Sagebrush Health LLCRichland, WA · 2 clinicians
Hospital affiliations
- Kadlec Regional Medical CenterRichland, WA
- Tacoma General Allenmore HospitalTacoma, WA
- Yakima Valley MemorialYakima, WA
Other facilities
- Columbia River Home HealthHome health agency · Kennewick, WA
Industry payments (Open Payments)
- 2025$2,174 · 100 payments from 19 companies
- 2024$2,135 · 73 payments from 14 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $736.13 | 41 |
| Novo Nordisk Inc | $296.40 | 16 |
| Axsome Therapeutics, Inc. | $184.53 | 4 |
| Abbvie Inc. | $145.21 | 10 |
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $115.63 | 1 |
What the 2025 payments were for
- Food and Beverage$2,174 · 100 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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