Washington Odhiambo Mitema, FNP
NPI 1154709798ActiveIndividual· Nurse Practitioner, Family· Roanoke, TX
Nurse Practitioner, Family (FNP) with Pine Ridge Indian Health Service Hospital, practicing in Roanoke, Texas. 37 Medicare patients in 2024, $3,047 paid; nearly all of their 53 Part D prescriptions were generic (91%). Lists Monument Health Rapid City Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1154709798 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | May 15, 2015 |
| Last updated in NPPES | Jul 2, 2023 |
| Certified by provider | Jul 2, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 724406 | TX |
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 (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 37 |
|---|---|
| Services billed | 64 across 15 procedure codes |
| Paid by Medicare | $3,047 |
Part D prescriptions in 2024
| Prescriptions (claims) | 53 · 54 30-day fills |
|---|---|
| Patients | 29 |
| Total drug cost | $1,868 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Pine Ridge Indian Health Service HospitalPine Ridge, SD · 108 clinicians
Hospital affiliations
- Monument Health Rapid City HospitalRapid City, SD
- Pine Ridge Ihs HospitalPine Ridge, SD
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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