Mackensie Grant De La Roca, FNP
NPI 1134720766ActiveIndividual· Nurse Practitioner, Family· Forest City, NC
Nurse Practitioner, Family (FNP) in Forest City, North Carolina, trained at University of South Carolina School of Medicine (class of 2019). Their prescriptions cost Medicare Part D more than their services did: $566,775 for 4,979 claims, against $34,816 paid for services in 2024. Corium, LLC was the largest of 3 companies reporting payments in 2025, $72.04 in all, mostly food and beverage.
Overview
| NPI | 1134720766 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Nov 2, 2020 |
| Last updated in NPPES | Jul 15, 2024 |
| Certified by provider | May 6, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 5013589 | NC |
| Nurse Practitioner | 363L00000X | 5013589 | NC |
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 (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 259 |
|---|---|
| Services billed | 1,089 across 58 procedure codes |
| Paid by Medicare | $34,816 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,979 · 9,617 30-day fills |
|---|---|
| Patients | 720 |
| Total drug cost | $566,775 |
| Generic share | 87% of claims |
Education and affiliations
| Medical school | University of South Carolina School of Medicine |
|---|---|
| Graduation year | 2019 |
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Carolinas Physicians Network IncCharlotte, NC · 2,325 clinicians
Hospital affiliations
- Atrium Health ClevelandShelby, NC
- Carolinas Medical Center/Behav HealthCharlotte, NC
- Rutherford Regional Medical CenterRutherfordton, NC
Other facilities
- Carolina Home CareHome health agency · Spindale, NC
- Centerwell Home HealthHome health agency · Shelby, NC
Industry payments (Open Payments)
- 2025$72.04 · 6 payments from 3 companies
- 2024$165.04 · 20 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Corium, LLC | $25.18 | 4 |
| Insulet Corporation | $23.89 | 1 |
| Boston Scientific Corporation | $22.97 | 1 |
What the 2025 payments were for
- Food and Beverage$72.04 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All Nurse Practitioner, Family providers in North Carolina →