Tiffany Smiling, FNP
NPI 1053169946ActiveIndividual· Nurse Practitioner, Family· Plymouth, NC
Nurse Practitioner, Family (FNP) with Usacs Integrated Acute Care Services of North Carolina, PLLC and 1 other group, practicing in Plymouth, North Carolina. Their prescriptions cost Medicare Part D more than their services did: $103,907 for 1,391 claims, against $40,278 paid for services in 2024. Phathom Pharmaceuticals, Inc. was the largest of 3 companies reporting payments in 2025, $76.22 in all, mostly food and beverage. Lists Sentara Albemarle Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1053169946 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | Yes |
| NPI issued | May 7, 2024 |
| Last updated in NPPES | Jun 27, 2024 |
| Certified by provider | Jun 27, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 5020028 | NC |
| Nurse Practitioner | 363L00000X | 5020028 | NC |
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 (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 113 |
|---|---|
| Services billed | 594 across 8 procedure codes |
| Paid by Medicare | $40,278 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,391 · 1,419 30-day fills |
|---|---|
| Patients | 153 |
| Total drug cost | $103,907 |
| Generic share | 82% of claims |
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Usacs Integrated Acute Care Services of North Carolina, PLLCElizabeth City, NC · 80 clinicians
- Mainstreet and Kidsstreet of North Carolina PLLCLocust, NC · 73 clinicians
Hospital affiliations
- Sentara Albemarle Medical CenterElizabeth City, NC
- Vidant Chowan HospitalEdenton, NC
Industry payments (Open Payments)
- 2025$76.22 · 4 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Phathom Pharmaceuticals, Inc. | $42.78 | 2 |
| Novo Nordisk Inc | $19.12 | 1 |
| Corcept Therapeutics | $14.32 | 1 |
What the 2025 payments were for
- Food and Beverage$76.22 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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