Melissa Ann Smith, AGACNP
Nurse Practitioner, Acute Care (AGACNP) with Cls Health PLLC, practicing in Webster, Texas. Their prescriptions cost Medicare Part D more than their services did: $63,370 for 463 claims, against $3,065 paid for services in 2024. Abiomed was the largest of 16 companies reporting payments in 2025, $794.42 in all, mostly food and beverage. Lists East Houston Medical Center as a hospital affiliation. A record with the same name and state is on the OIG exclusion list; it carries no NPI, so check it before acting.
Overview
| NPI | 1043759681 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AGACNP |
| Sole proprietor | No |
| NPI issued | Feb 15, 2017 |
| Last updated in NPPES | Nov 6, 2026 |
| Certified by provider | Nov 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | 786676 | TX |
Exclusion screening
Possible match: verify before acting. The OIG list has a record with the same name in Texas, but that record carries no NPI, so it may be a different person or business.
| Matched by | Name on OIG list | Exclusion type | Excluded since | Location |
|---|---|---|---|---|
| Name + state | Melissa Leal Smith · Nurse/Nurses Aide | 1128a4 | Jan 19, 2006 | San Angelo, TX |
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | Possible (name) | See above |
| 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 (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 29 |
|---|---|
| Services billed | 50 across 8 procedure codes |
| Paid by Medicare | $3,065 |
Part D prescriptions in 2024
| Prescriptions (claims) | 463 · 1,262 30-day fills |
|---|---|
| Patients | 119 |
| Total drug cost | $63,370 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Cls Health PLLCWebster, TX · 180 clinicians
Hospital affiliation
- East Houston Medical CenterHouston, TX
Industry payments (Open Payments)
- 2025$794.42 · 31 payments from 16 companies
- 2024$2,733 · 48 payments from 17 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abiomed | $213.55 | 3 |
| Merck Sharp & Dohme LLC | $106.56 | 4 |
| Amgen Inc. | $74.55 | 5 |
| Zoll Services LLC (A/K/A Zoll Lifecor Corp) | $61.49 | 3 |
| Astrazeneca Pharmaceuticals LP | $57.07 | 3 |
What the 2025 payments were for
- Food and Beverage$794.42 · 31 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 39 acute care nurse practitioners in Webster · All acute care nurse practitioners in Texas