Paul David Francis Jr., PMHNP
NPI 1154088482ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Prestonsburg, KY
Nurse Practitioner, Psych/Mental Health (PMHNP) with Mountain Comprehensive Care Center Inc, practicing in Prestonsburg, Kentucky. Their prescriptions cost Medicare Part D more than their services did: $1,028,451 for 4,159 claims, against $13,205 paid for services in 2024. Vanda Pharmaceuticals Inc. was the largest of 16 companies reporting payments in 2025, $1,588 in all, mostly food and beverage.
Overview
| NPI | 1154088482 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PMHNP |
| Sole proprietor | No |
| NPI issued | Nov 22, 2021 |
| Last updated in NPPES | Nov 22, 2021 |
| Certified by provider | Nov 22, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | 3016852 | KY |
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 (KY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 45 |
|---|---|
| Services billed | 311 across 6 procedure codes |
| Paid by Medicare | $13,205 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,159 · 4,356 30-day fills |
|---|---|
| Patients | 158 |
| Total drug cost | $1,028,451 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Mountain Comprehensive Care Center IncPrestonsburg, KY · 86 clinicians
Industry payments (Open Payments)
- 2025$1,588 · 84 payments from 16 companies
- 2024$1,193 · 80 payments from 11 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Vanda Pharmaceuticals Inc. | $406.50 | 20 |
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $217.94 | 11 |
| Lundbeck LLC | $194.95 | 11 |
| Alkermes, Inc. | $185.10 | 12 |
| Teva Pharmaceuticals USA, Inc. | $129.28 | 7 |
What the 2025 payments were for
- Food and Beverage$1,573 · 83 payments
- Education$15.04 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 39 psychiatric nurse practitioners in Prestonsburg · All psychiatric nurse practitioners in Kentucky