Rachel Kaye Shafer, MSN, APRN, AGNP-C
NPI 1114565884ActiveIndividual· Nurse Practitioner, Adult Health· Victoria, TX
Nurse Practitioner, Adult Health (MSN, APRN, AGNP-C) with Pam Physician Enterprise, practicing in Victoria, Texas. 110 Medicare patients in 2024, $96,138 paid; nearly all of their 90 Part D prescriptions were generic (98%). Urgo Medical North America, LLC was the largest of 10 companies reporting payments in 2025, $1,164 in all, mostly food and beverage. Lists Citizens Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1114565884 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSN, APRN, AGNP-C |
| Sole proprietor | No |
| NPI issued | Dec 12, 2019 |
| Last updated in NPPES | Dec 12, 2019 |
| Certified by provider | Dec 12, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | AP144249 | TX |
| Nurse Practitioner, Gerontology | 363LG0600X | AP144249 | TX |
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 (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 110 |
|---|---|
| Services billed | 1,640 across 20 procedure codes |
| Paid by Medicare | $96,138 |
Part D prescriptions in 2024
| Prescriptions (claims) | 90 · 90 30-day fills |
|---|---|
| Patients | 52 |
| Total drug cost | $1,349 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Pam Physician EnterpriseStoughton, MA · 33 clinicians
Hospital affiliations
- Citizens Medical CenterVictoria, TX
- De Tar Hospital NavarroVictoria, TX
Other facilities
- Pam Health at HomeHome health agency · Buda, TX
- Pam Specialty Hospital of Victoria NorthLong-term care hospital · Victoria, TX
Industry payments (Open Payments)
- 2025$1,164 · 19 payments from 10 companies
- 2024$308.21 · 7 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Urgo Medical North America, LLC | $287.81 | 6 |
| Kerecis Limited | $263.72 | 3 |
| Gilead Sciences, Inc. | $125.00 | 1 |
| La Jolla Pharmaceutical Company | $124.99 | 1 |
| Abbvie Inc. | $118.76 | 1 |
What the 2025 payments were for
- Food and Beverage$1,164 · 19 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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