Melissa A. Nihiser, ARNP
NPI 1033458831ActiveIndividual· Nurse Practitioner, Adult Health· Zephyrhills, FL
Nurse Practitioner, Adult Health (ARNP) with Ohi West Medical Group II LLC, practicing in Zephyrhills, Florida. Their prescriptions cost Medicare Part D more than their services did: $656,436 for 7,845 claims, against $123,990 paid for services in 2024. Cvrx, Inc. was the largest of 12 companies reporting payments in 2025, $699.02 in all, mostly food and beverage. Lists Adventhealth Wesley Chapel and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1033458831 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ARNP |
| Sole proprietor | No |
| NPI issued | Feb 14, 2013 |
| Last updated in NPPES | Sep 27, 2023 |
| Certified by provider | Sep 2, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | ARNP 9258469 | FL |
| Nurse Practitioner, Family | 363LF0000X | APRN9258469 | FL |
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 (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 396 |
|---|---|
| Services billed | 3,143 across 32 procedure codes |
| Paid by Medicare | $123,990 |
Part D prescriptions in 2024
| Prescriptions (claims) | 7,845 · 19,020 30-day fills |
|---|---|
| Patients | 774 |
| Total drug cost | $656,436 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Ohi West Medical Group II LLCLutz, FL · 413 clinicians
Hospital affiliations
- Adventhealth Wesley ChapelWesley Chapel, FL
- Adventhealth ZephyrhillsZephyrhills, FL
- Baycare Hospital Wesley ChapelWesley Chapel, FL
Industry payments (Open Payments)
- 2025$699.02 · 25 payments from 12 companies
- 2024$1,256 · 73 payments from 21 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Cvrx, Inc. | $158.15 | 4 |
| Edwards Lifesciences Corporation | $120.52 | 3 |
| Novo Nordisk Inc | $109.18 | 5 |
| Bayer Healthcare Pharmaceuticals Inc. | $77.36 | 3 |
| Angiodynamics, Inc. | $43.38 | 1 |
What the 2025 payments were for
- Food and Beverage$699.02 · 25 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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