Trena Preston, APRN
NPI 1033131156ActiveIndividual· Nurse Practitioner· Hazard, KY
Nurse Practitioner (APRN) with Appalachian Regional Healthcare Inc, practicing in Hazard, Kentucky. Their prescriptions cost Medicare Part D more than their services did: $434,402 for 6,576 claims, against $28,798 paid for services in 2024. Axsome Therapeutics, Inc. was the largest of 5 companies reporting payments in 2025, $215.54 in all, mostly food and beverage. Lists Hazard Arh Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1033131156 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | No |
| NPI issued | Jul 25, 2006 |
| Last updated in NPPES | Aug 4, 2026 |
| Certified by provider | Aug 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 42682 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (KY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 132 |
|---|---|
| Services billed | 622 across 18 procedure codes |
| Paid by Medicare | $28,798 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,576 · 10,713 30-day fills |
|---|---|
| Patients | 321 |
| Total drug cost | $434,402 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Appalachian Regional Healthcare IncMiddlesboro, KY · 318 clinicians
Hospital affiliation
- Hazard Arh Regional Medical CenterHazard, KY
Industry payments (Open Payments)
- 2025$215.54 · 9 payments from 5 companies
- 2024$242.87 · 13 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Axsome Therapeutics, Inc. | $68.47 | 2 |
| Grifols USA, LLC | $55.63 | 3 |
| Dexcom, Inc. | $51.76 | 2 |
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $20.62 | 1 |
| Novo Nordisk Inc | $19.06 | 1 |
What the 2025 payments were for
- Food and Beverage$215.54 · 9 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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