Debra Defranco, FNP-C
NPI 1033531629ActiveIndividual· Nurse Practitioner, Family· Middleburg Heights, OH
Nurse Practitioner, Family (FNP-C) with Vpa PC, practicing in Middleburg Heights, Ohio. Their prescriptions cost Medicare Part D more than their services did: $364,766 for 2,796 claims, against $21,180 paid for services in 2024. Impulse Dynamics (USA) Inc. reported $17.62 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1033531629 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-C |
| Sole proprietor | Yes |
| NPI issued | Jan 15, 2014 |
| Last updated in NPPES | Sep 16, 2024 |
| Certified by provider | Sep 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | COA.15460-NP | OH |
| Nurse Practitioner, Family | 363LF0000X | APRN.CNP.15460 | OH |
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 (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 275 |
|---|---|
| Services billed | 441 across 22 procedure codes |
| Paid by Medicare | $21,180 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,796 · 6,839 30-day fills |
|---|---|
| Patients | 665 |
| Total drug cost | $364,766 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Vpa PCRenton, WA · 178 clinicians
Other facilities
- Accessible Home Health Care of AkronHome health agency · Medina, OH
- Alpine Care Home HealthHome health agency · Youngstown, OH
- Bayada Home Health Care, IncHome health agency · Cuyahoga Falls, OH
- Elara CaringHome health agency · Mentor, OH
- Residence Home Care LLCHome health agency · North Olmsted, OH
Industry payments (Open Payments)
- 2025$17.62 · 1 payment from 1 company
- 2024$193.31 · 5 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Impulse Dynamics (USA) Inc. | $17.62 | 1 |
What the 2025 payments were for
- Food and Beverage$17.62 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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