Nickie Ralston, MSN FNP
NPI 1013310184ActiveIndividual· Nurse Practitioner, Family· Goshen, IN
Nurse Practitioner, Family (MSN FNP) with Goshen Health System Inc, practicing in Goshen, Indiana. Their prescriptions cost Medicare Part D more than their services did: $207,045 for 1,937 claims, against $23,091 paid for services in 2024. Zoll Services LLC (A/K/A Zoll Lifecor Corp) was the largest of 9 companies reporting payments in 2025, $674.48 in all, mostly food and beverage. Lists Goshen Hospital as a hospital affiliation.
Overview
| NPI | 1013310184 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSN FNP |
| Sole proprietor | No |
| NPI issued | Oct 3, 2014 |
| Last updated in NPPES | May 3, 2023 |
| Certified by provider | May 3, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 71005206A | IN |
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 (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 293 |
|---|---|
| Services billed | 476 across 11 procedure codes |
| Paid by Medicare | $23,091 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,937 · 4,943 30-day fills |
|---|---|
| Patients | 433 |
| Total drug cost | $207,045 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Goshen Health System IncGoshen, IN · 138 clinicians
Hospital affiliation
- Goshen HospitalGoshen, IN
Industry payments (Open Payments)
- 2025$674.48 · 32 payments from 9 companies
- 2024$558.37 · 30 payments from 9 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Zoll Services LLC (A/K/A Zoll Lifecor Corp) | $188.34 | 9 |
| Boston Scientific Corporation | $106.02 | 4 |
| Edwards Lifesciences Corporation | $90.48 | 3 |
| E.R. Squibb & Sons, L.L.C. | $80.17 | 5 |
| Pfizer Inc. | $64.32 | 4 |
What the 2025 payments were for
- Food and Beverage$674.48 · 32 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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