Rachel Tosh, NP
NPI 1124772587ActiveIndividual· Nurse Practitioner, Family· Bolivar, TN
Nurse Practitioner, Family (NP) with Jackson Madison County General Hospital, practicing in Bolivar, Tennessee. Mostly services rather than prescriptions: Medicare paid $1,112 for 12 patients in 2024, with only 33 Part D claims. Astrazeneca Pharmaceuticals LP was the largest of 18 companies reporting payments in 2025, $760.90 in all, mostly food and beverage. Lists Dyersburg Regional Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1124772587 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Feb 4, 2022 |
| Last updated in NPPES | Feb 4, 2022 |
| Certified by provider | Feb 4, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 31048 | TN |
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 (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 18 across 3 procedure codes |
| Paid by Medicare | $1,112 |
Part D prescriptions in 2024
| Prescriptions (claims) | 33 · 33 30-day fills |
|---|---|
| Patients | 27 |
| Total drug cost | $350.11 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Jackson Madison County General HospitalJackson, TN · 55 clinicians
Hospital affiliations
- Dyersburg Regional Medical CenterDyersburg, TN
- Jackson-Madison County General HospitalJackson, TN
Industry payments (Open Payments)
- 2025$760.90 · 30 payments from 18 companies
- 2024$174.11 · 8 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $190.42 | 5 |
| Sanofi-Aventis U.S. LLC | $99.95 | 1 |
| E.R. Squibb & Sons, L.L.C. | $89.26 | 5 |
| Janssen Biotech, Inc. | $53.87 | 3 |
| Exelixis Inc. | $52.16 | 3 |
What the 2025 payments were for
- Food and Beverage$660.95 · 29 payments
- Education$99.95 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 18 family nurse practitioners in Bolivar · All family nurse practitioners in Tennessee