Mary Jill Vaillancourt, CRNP
NPI 1104290915ActiveIndividual· Nurse Practitioner, Adult Health· Jamestown, NY
Nurse Practitioner, Adult Health (CRNP) in Jamestown, New York, licensed in NY and PA, with an NPI issued in November 2015. Their prescriptions cost Medicare Part D more than their services did: $249,027 for 2,084 claims, against $219.71 paid for services in 2024. Abbvie Inc. was the largest of 6 companies reporting payments in 2024, $149.74 in all, mostly food and beverage.
Overview
| NPI | 1104290915 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNP |
| Sole proprietor | No |
| NPI issued | Nov 17, 2015 |
| Last updated in NPPES | Aug 31, 2023 |
| Certified by provider | Aug 31, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | F307302 | NY |
| Nurse Practitioner | 363L00000X | SP015710 | PA |
| Nurse Practitioner, Adult Health | 363LA2200X | SP015710 | PA |
| Nurse Practitioner, Gerontology | 363LG0600X | SP015710 | PA |
| Registered Nurse | 163W00000X | RN578441 | PA |
| Registered Nurse | 163W00000X | 362456 | NY |
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 (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 19 |
|---|---|
| Services billed | 30 across 5 procedure codes |
| Paid by Medicare | $219.71 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,084 · 3,933 30-day fills |
|---|---|
| Patients | 165 |
| Total drug cost | $249,027 |
| Generic share | 82% of claims |
Industry payments (Open Payments)
- 2024$149.74 · 7 payments from 6 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $36.83 | 1 |
| Glaxosmithkline, LLC. | $30.97 | 2 |
| Phathom Pharmaceuticals, Inc. | $27.73 | 1 |
| Teva Pharmaceuticals USA, Inc. | $19.23 | 1 |
| Merck Sharp & Dohme LLC | $17.59 | 1 |
What the 2024 payments were for
- Food and Beverage$149.74 · 7 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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