Sierra Jo Muilenburg-Alvarez, APRN
NPI 1154035996ActiveIndividual· Nurse Practitioner· Brooksville, FL
Nurse Practitioner (APRN) with Paragon Emergency Services LLC, practicing in Brooksville, Florida. 165 Medicare patients in 2024, $17,629 paid; nearly all of their 147 Part D prescriptions were generic (96%). Stryker Corporation reported $59.00 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1154035996 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | No |
| NPI issued | Jan 6, 2023 |
| Last updated in NPPES | Jan 20, 2023 |
| Certified by provider | Jan 20, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | APRN11023993 | FL |
| Registered Nurse, Emergency | 163WE0003X | RN9468638 | 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 | 165 |
|---|---|
| Services billed | 177 across 12 procedure codes |
| Paid by Medicare | $17,629 |
Part D prescriptions in 2024
| Prescriptions (claims) | 147 · 152 30-day fills |
|---|---|
| Patients | 117 |
| Total drug cost | $3,744 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Paragon Emergency Services LLCOrange Park, FL · 418 clinicians
Industry payments (Open Payments)
- 2025$59.00 · 2 payments from 1 company
- 2024$188.56 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Stryker Corporation | $59.00 | 2 |
What the 2025 payments were for
- Food and Beverage$59.00 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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