Sophia Smith, NP
NPI 1154085215ActiveIndividual· Nurse Practitioner, Family· Waukesha, WI
Nurse Practitioner, Family (NP) with Oak Medical SC, practicing in Waukesha, Wisconsin. Their prescriptions cost Medicare Part D more than their services did: $209,055 for 3,990 claims, against $15,280 paid for services in 2024. Lists Aspirus Wausau Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1154085215 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Oct 26, 2021 |
| Last updated in NPPES | Nov 11, 2023 |
| Certified by provider | Nov 11, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 11415-33 | WI |
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 (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 175 |
|---|---|
| Services billed | 375 across 16 procedure codes |
| Paid by Medicare | $15,280 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,990 · 4,068 30-day fills |
|---|---|
| Patients | 412 |
| Total drug cost | $209,055 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Oak Medical SCLodi, WI · 123 clinicians
Hospital affiliations
- Aspirus Wausau HospitalWausau, WI
- Holy Family MemorialManitowoc, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 97 family nurse practitioners in Waukesha · All family nurse practitioners in Wisconsin