Joyce A. Kepto, ARNP
NPI 1073578100ActiveIndividual· Advanced Practice Midwife· St Petersburg, FL
Advanced Practice Midwife (ARNP) with Manatee Gynecology LLC, practicing in St Petersburg, Florida. Their prescriptions cost Medicare Part D more than their services did: $54,581 for 356 claims, against $1,064 paid for services in 2024. Amgen Inc. was the largest of 4 companies reporting payments in 2025, $75.31 in all, mostly food and beverage. Lists HCA Florida Blake Hospital as a hospital affiliation.
Overview
| NPI | 1073578100 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ARNP |
| Sole proprietor | No |
| NPI issued | Apr 20, 2006 |
| Last updated in NPPES | Jul 24, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Advanced Practice Midwife Primary | 367A00000X | APRN1674182 | FL |
| Nurse Practitioner | 363L00000X | APRN1674182 | FL |
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 - Certified Nurse Midwife (Cnm) (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 16 |
|---|---|
| Services billed | 22 across 6 procedure codes |
| Paid by Medicare | $1,064 |
Part D prescriptions in 2024
| Prescriptions (claims) | 356 · 766 30-day fills |
|---|---|
| Patients | 146 |
| Total drug cost | $54,581 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 1985 |
|---|---|
| Medicare specialty | Certified Nurse Midwife (Cnm) |
Medical group
- Manatee Gynecology LLCBradenton, FL · 7 clinicians
Hospital affiliation
- HCA Florida Blake HospitalBradenton, FL
Industry payments (Open Payments)
- 2025$75.31 · 5 payments from 4 companies
- 2024$49.52 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Amgen Inc. | $29.06 | 2 |
| Hologic Sales and Service, LLC | $22.96 | 1 |
| Laborie Medical Technologies Corp. | $15.42 | 1 |
| Mayne Pharma Commercial LLC | $7.87 | 1 |
What the 2025 payments were for
- Food and Beverage$75.31 · 5 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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