Twyla Hurst, FNP
NPI 1083814073ActiveIndividual· Nurse Practitioner, Family· Bossier City, LA
Nurse Practitioner, Family (FNP) with Christus Trinity Clinic Texas, practicing in Bossier City, Louisiana. Their prescriptions cost Medicare Part D more than their services did: $238,851 for 1,436 claims, against $13,666 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 2 companies reporting payments in 2025, $72.82 in all, mostly food and beverage. Lists Christus Shreveport-Bossier Health System as a hospital affiliation.
Overview
| NPI | 1083814073 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | Yes |
| NPI issued | Jul 19, 2007 |
| Last updated in NPPES | Apr 22, 2026 |
| Certified by provider | Apr 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | AP05270 | LA |
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 (LA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 44 |
|---|---|
| Services billed | 422 across 21 procedure codes |
| Paid by Medicare | $13,666 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,436 · 3,488 30-day fills |
|---|---|
| Patients | 87 |
| Total drug cost | $238,851 |
| Generic share | 80% of claims |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Christus Trinity Clinic TexasTyler, TX · 1,540 clinicians
Hospital affiliation
- Christus Shreveport-Bossier Health SystemShreveport, LA
Industry payments (Open Payments)
- 2025$72.82 · 4 payments from 2 companies
- 2024$104.99 · 6 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $37.65 | 2 |
| Astellas Pharma US Inc | $35.17 | 2 |
What the 2025 payments were for
- Food and Beverage$72.82 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 53 family nurse practitioners in Bossier City · All family nurse practitioners in Louisiana