Andrea L. Nutt, FNP
NPI 1093192965ActiveIndividual· Nurse Practitioner, Family· Sheridan, OR
Nurse Practitioner, Family (FNP) with Icco LLC, practicing in Sheridan, Oregon. Their prescriptions cost Medicare Part D more than their services did: $319,015 for 3,604 claims, against $2,600 paid for services in 2024. Axsome Therapeutics, Inc. reported $116.71 in payments in 2025, mostly food and beverage. Lists Mercy Medical Center as a hospital affiliation.
Overview
| NPI | 1093192965 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Apr 29, 2015 |
| Last updated in NPPES | Aug 9, 2023 |
| Certified by provider | Aug 9, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 201705780NP-PP | OR |
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 (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 26 |
|---|---|
| Services billed | 37 across 12 procedure codes |
| Paid by Medicare | $2,600 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,604 · 7,263 30-day fills |
|---|---|
| Patients | 305 |
| Total drug cost | $319,015 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Icco LLCEugene, OR · 135 clinicians
Hospital affiliation
- Mercy Medical CenterRoseburg, OR
Other facilities
- Amedisys Home Health CareHome health agency · Roseburg, OR
Industry payments (Open Payments)
- 2025$116.71 · 1 payment from 1 company
- 2024$176.20 · 3 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Axsome Therapeutics, Inc. | $116.71 | 1 |
What the 2025 payments were for
- Food and Beverage$116.71 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner, Family providers in Sheridan
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