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Mary Sue Nicholson, CRNP

NPI 1063662849ActiveIndividual· Nurse Practitioner, Family· Brookhaven, PA

Nurse Practitioner, Family (CRNP) in Brookhaven, Pennsylvania, licensed in PA, with an NPI issued in September 2008. Part D covered 744 prescriptions written in 2024, 88% of them generic. Braeburn Inc. reported $119.70 in payments in 2025, mostly food and beverage.

Overview

NPI1063662849
StatusActive
Entity typeIndividual
CredentialCRNP
Sole proprietorNo
NPI issuedSep 29, 2008
Last updated in NPPESSep 29, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000XSP007470PA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)744 · 750 30-day fills
Patients125
Total drug cost$54,083
Generic share88% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$119.70 · 1 payment from 1 company
  • 2024$66.48 · 2 payments from 2 companies

Top paying companies in 2025

CompanyAmountPayments
Braeburn Inc.$119.701

What the 2025 payments were for

  • Food and Beverage$119.70 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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