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Natalie Mesco, PMHNP

NPI 1023762531ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Richmond, VA

Nurse Practitioner, Psych/Mental Health (PMHNP) with Old Towne Counseling Services LLC, practicing in Richmond, Virginia. 20 Medicare patients in 2024, $4,957 paid; all of their 114 Part D prescriptions were generic. Lundbeck LLC was the largest of 3 companies reporting payments in 2025, $76.81 in all, mostly food and beverage.

Overview

NPI1023762531
StatusActive
Entity typeIndividual
CredentialPMHNP
Sole proprietorNo
NPI issuedFeb 4, 2022
Last updated in NPPESNov 29, 2023
Certified by providerNov 29, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Psych/Mental Health Primary363LP0808X0024183602VA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (VA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients20
Services billed61 across 3 procedure codes
Paid by Medicare$4,957

Part D prescriptions in 2024

Prescriptions (claims)114 · 190 30-day fills
Patients25
Total drug cost$2,513
Generic share100% of claims

Medicare sources and data years

Education and affiliations

Graduation year2021
Medicare specialtyNurse Practitioner
TelehealthOffers telehealth

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$76.81 · 3 payments from 3 companies
  • 2024$155.72 · 7 payments from 6 companies

Top paying companies in 2025

CompanyAmountPayments
Lundbeck LLC$32.871
Biogen, Inc.$27.321
E.R. Squibb & Sons, L.L.C.$16.621

What the 2025 payments were for

  • Food and Beverage$76.81 · 3 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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