Michelle Rae Modlin, NP
NPI 1043698244ActiveIndividual· Nurse Practitioner, Family· Plainfield, IN
Nurse Practitioner, Family (NP) in Plainfield, Indiana, licensed in IN, with an NPI issued in May 2015. Their prescriptions cost Medicare Part D more than their services did: $4,236 for 52 claims, against $876.24 paid for services in 2024. Exact Sciences Corporation reported $16.81 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1043698244 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | Yes |
| NPI issued | May 8, 2015 |
| Last updated in NPPES | Jun 29, 2026 |
| Certified by provider | Jun 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 71005906A | IN |
| Registered Nurse | 163W00000X | 28189230A | IN |
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 (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 13 across 3 procedure codes |
| Paid by Medicare | $876.24 |
Part D prescriptions in 2024
| Prescriptions (claims) | 52 · 87 30-day fills |
|---|---|
| Patients | 34 |
| Total drug cost | $4,236 |
| Generic share | 75% of claims |
Industry payments (Open Payments)
- 2025$16.81 · 1 payment from 1 company
- 2024$14.44 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Exact Sciences Corporation | $16.81 | 1 |
What the 2025 payments were for
- Food and Beverage$16.81 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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