Ira Nadine Geminiano, FNP-BC
NPI 1154100592ActiveIndividual· Nurse Practitioner, Family· Gainesville, VA
Nurse Practitioner, Family (FNP-BC) with Loudoun Medical Group, PC, practicing in Gainesville, Virginia. Their prescriptions cost Medicare Part D more than their services did: $12,693 for 32 claims, against $8,276 paid for services in 2024. Novo Nordisk Inc was the largest of 3 companies reporting payments in 2025, $209.52 in all, mostly food and beverage.
Overview
| NPI | 1154100592 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-BC |
| Sole proprietor | No |
| NPI issued | Sep 25, 2023 |
| Last updated in NPPES | Dec 13, 2023 |
| Certified by provider | Dec 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 0024188205 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (DC); Practitioner - Nurse Practitioner (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 28 |
|---|---|
| Services billed | 164 across 5 procedure codes |
| Paid by Medicare | $8,276 |
Part D prescriptions in 2024
| Prescriptions (claims) | 32 · 43 30-day fills |
|---|---|
| Total drug cost | $12,693 |
| Generic share | 69% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Loudoun Medical Group, PCLovettsville, VA · 271 clinicians
Industry payments (Open Payments)
- 2025$209.52 · 9 payments from 3 companies
- 2024$111.70 · 6 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $121.83 | 4 |
| Lilly USA, LLC | $58.57 | 3 |
| Currax Pharmaceuticals LLC | $29.12 | 2 |
What the 2025 payments were for
- Food and Beverage$209.52 · 9 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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