Rafael Andres Mirabal Sr., FNP
NPI 1134755663ActiveIndividual· Nurse Practitioner, Family· Fort Myers, FL
Nurse Practitioner, Family (FNP) with Millennium Physician Group LLC, practicing in Fort Myers, Florida. Their prescriptions cost Medicare Part D more than their services did: $660,250 for 5,912 claims, against $10,762 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 13 companies reporting payments in 2025, $949.64 in all, mostly food and beverage.
Overview
| NPI | 1134755663 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | Yes |
| NPI issued | Mar 16, 2020 |
| Last updated in NPPES | Jan 3, 2024 |
| Certified by provider | Jan 3, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | APRN11006534 | FL |
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 (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 58 |
|---|---|
| Services billed | 539 across 47 procedure codes |
| Paid by Medicare | $10,762 |
Part D prescriptions in 2024
| Prescriptions (claims) | 5,912 · 12,064 30-day fills |
|---|---|
| Patients | 455 |
| Total drug cost | $660,250 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Millennium Physician Group LLCJacksonville, FL · 982 clinicians
Industry payments (Open Payments)
- 2025$949.64 · 56 payments from 13 companies
- 2024$1,106 · 63 payments from 14 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $236.57 | 22 |
| Glaxosmithkline, LLC. | $168.44 | 7 |
| Sumitomo Pharma America, Inc. | $150.23 | 9 |
| Novo Nordisk Inc | $128.84 | 6 |
| Lilly USA, LLC | $64.03 | 3 |
What the 2025 payments were for
- Food and Beverage$949.64 · 56 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 455 family nurse practitioners in Fort Myers · All family nurse practitioners in Florida