Rachelle Napi Fleming, FNP
NPI 1114437720ActiveIndividual· Nurse Practitioner, Family· Niagara Falls, NY
Nurse Practitioner, Family (FNP) with Artemis Inspired Medicine PC, practicing in Niagara Falls, New York. Their prescriptions cost Medicare Part D more than their services did: $16,792 for 316 claims, against $3,875 paid for services in 2024. Amgen Inc. was the largest of 3 companies reporting payments in 2025, $77.17 in all, mostly food and beverage. Lists Kaleida Health and 1 other hospital as hospital affiliations.
Overview
| NPI | 1114437720 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Oct 9, 2017 |
| Last updated in NPPES | Feb 20, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | F341966 | NY |
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 (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 48 |
|---|---|
| Services billed | 94 across 11 procedure codes |
| Paid by Medicare | $3,875 |
Part D prescriptions in 2024
| Prescriptions (claims) | 316 · 484 30-day fills |
|---|---|
| Patients | 123 |
| Total drug cost | $16,792 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Artemis Inspired Medicine PCLockport, NY · 4 clinicians
Hospital affiliations
- Kaleida HealthBuffalo, NY
- Mount St. Mary's Hospital & Health CenterLewiston, NY
Industry payments (Open Payments)
- 2025$77.17 · 4 payments from 3 companies
- 2024$335.12 · 9 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Amgen Inc. | $35.30 | 2 |
| Sumitomo Pharma America, Inc. | $26.39 | 1 |
| Exeltis, USA Inc. | $15.48 | 1 |
What the 2025 payments were for
- Food and Beverage$77.17 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 40 family nurse practitioners in Niagara Falls · All family nurse practitioners in New York