Elizabeth Maria Durham, NURSE PRACTITIONER
NPI 1104580356ActiveIndividual· Nurse Practitioner, Family· Salt Lake City, UT
Nurse Practitioner, Family (NURSE PRACTITIONER) with Impact Physician Group LLC, practicing in Salt Lake City, Utah. Their prescriptions cost Medicare Part D more than their services did: $51,654 for 410 claims, against $1,555 paid for services in 2024. Abbvie Inc. reported $34.08 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1104580356 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NURSE PRACTITIONER |
| Sole proprietor | Yes |
| NPI issued | Oct 25, 2021 |
| Last updated in NPPES | Jun 15, 2022 |
| Certified by provider | Jun 15, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 7081449-4405 | UT |
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 (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 18 |
|---|---|
| Services billed | 28 across 5 procedure codes |
| Paid by Medicare | $1,555 |
Part D prescriptions in 2024
| Prescriptions (claims) | 410 · 634 30-day fills |
|---|---|
| Patients | 100 |
| Total drug cost | $51,654 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Impact Physician Group LLCCarmel, IN · 20 clinicians
Other facilities
- Central Utah Rehabilitation HospitalLong-term care hospital · Provo, UT
Industry payments (Open Payments)
- 2024$34.08 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $34.08 | 1 |
What the 2024 payments were for
- Food and Beverage$34.08 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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