Paula Jeanette Lastoria, FNP
Nurse Practitioner, Family (FNP) with Carolinas Medical Center and 1 other group, practicing in Charlotte, North Carolina. Their prescriptions cost Medicare Part D more than their services did: $593,751 for 337 claims, against $13,654 paid for services in 2024. Novo Nordisk Inc was the largest of 2 companies reporting payments in 2025, $221.07 in all, mostly food and beverage. Lists Atrium Health Pineville and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1013164979 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Aug 22, 2008 |
| Last updated in NPPES | Jul 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 5004078 | NC |
| Nurse Practitioner | 363L00000X | 5004078 | 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); Practitioner - Nurse Practitioner (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 120 |
|---|---|
| Services billed | 213 across 14 procedure codes |
| Paid by Medicare | $13,654 |
Part D prescriptions in 2024
| Prescriptions (claims) | 337 · 628 30-day fills |
|---|---|
| Patients | 67 |
| Total drug cost | $593,751 |
| Generic share | 77% of claims |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical groups
- Carolinas Medical CenterCharlotte, NC · 1,067 clinicians
- Atrium Health Specialty Network IncCharlotte, NC · 254 clinicians
Hospital affiliations
- Atrium Health PinevilleCharlotte, NC
- Atrium Health UnionMonroe, NC
- Carolinas Medical Center/Behav HealthCharlotte, NC
Industry payments (Open Payments)
- 2025$221.07 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $121.16 | 1 |
| Gilead Sciences, Inc. | $99.91 | 1 |
What the 2025 payments were for
- Food and Beverage$221.07 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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