April Winkler, FNP-BC
NPI 1104273861ActiveIndividual· Nurse Practitioner, Family· Kirksville, MO
Nurse Practitioner, Family (FNP-BC) with Northeast Missouri Health Council Inc, practicing in Kirksville, Missouri. Their prescriptions cost Medicare Part D more than their services did: $222,691 for 1,495 claims, against $835.64 paid for services in 2024. Abbvie Inc. was the largest of 15 companies reporting payments in 2025, $777.78 in all, mostly food and beverage. Lists University of Missouri Health Care as a hospital affiliation.
Overview
| NPI | 1104273861 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-BC |
| Sole proprietor | No |
| NPI issued | May 23, 2016 |
| Last updated in NPPES | May 23, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 2016012522 | MO |
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 (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 32 |
|---|---|
| Services billed | 48 across 6 procedure codes |
| Paid by Medicare | $835.64 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,495 · 3,231 30-day fills |
|---|---|
| Patients | 122 |
| Total drug cost | $222,691 |
| Generic share | 81% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Northeast Missouri Health Council IncKirksville, MO · 20 clinicians
Hospital affiliation
- University of Missouri Health CareColumbia, MO
Other facilities
- Elara CaringHome health agency · Jefferson City, MO
Industry payments (Open Payments)
- 2025$777.78 · 51 payments from 15 companies
- 2024$381.99 · 26 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $264.20 | 15 |
| Astrazeneca Pharmaceuticals LP | $171.92 | 17 |
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $81.04 | 4 |
| Vertex Pharmaceuticals Incorporated | $52.08 | 2 |
| Collegium Pharmaceutical, Inc. | $31.18 | 2 |
What the 2025 payments were for
- Food and Beverage$766.22 · 50 payments
- Education$11.56 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 28 family nurse practitioners in Kirksville · All family nurse practitioners in Missouri