Michelle Elaine Meako, ARNP
NPI 1043545254ActiveIndividual· Nurse Practitioner· Mountlake Terrace, WA
Nurse Practitioner (ARNP) with Ideal Option PLLC, practicing in Mountlake Terrace, Washington. Their prescriptions cost Medicare Part D more than their services did: $69,232 for 296 claims, against $24,856 paid for services in 2024. Braeburn Inc. was the largest of 2 companies reporting payments in 2025, $34.03 in all, mostly food and beverage.
Overview
| NPI | 1043545254 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ARNP |
| Sole proprietor | No |
| NPI issued | Oct 6, 2009 |
| Last updated in NPPES | May 6, 2025 |
| Certified by provider | May 6, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | AP60116150 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (OR); Practitioner - Nurse Practitioner (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 14 |
|---|---|
| Services billed | 1,806 across 23 procedure codes |
| Paid by Medicare | $24,856 |
Part D prescriptions in 2024
| Prescriptions (claims) | 296 · 297 30-day fills |
|---|---|
| Patients | 35 |
| Total drug cost | $69,232 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Ideal Option PLLCLongview, WA · 91 clinicians
Industry payments (Open Payments)
- 2025$34.03 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Braeburn Inc. | $19.50 | 1 |
| Orexo US, Inc. | $14.53 | 1 |
What the 2025 payments were for
- Food and Beverage$34.03 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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