Shelbi Dexter, ARNP
NPI 1164192290ActiveIndividual· Nurse Practitioner, Family· Ottumwa, IA
Nurse Practitioner, Family (ARNP) with Jefferson County Hospital and 1 other group, practicing in Ottumwa, Iowa. Their prescriptions cost Medicare Part D more than their services did: $117,660 for 1,334 claims, against $22,881 paid for services in 2024. Abbvie Inc. was the largest of 8 companies reporting payments in 2025, $311.67 in all, mostly food and beverage. Lists Jefferson County Health Center and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1164192290 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ARNP |
| Sole proprietor | No |
| NPI issued | Sep 20, 2021 |
| Last updated in NPPES | Oct 12, 2021 |
| Certified by provider | Oct 12, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | A165853 | IA |
| Registered Nurse | 163W00000X | 127928 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 279 |
|---|---|
| Services billed | 1,002 across 35 procedure codes |
| Paid by Medicare | $22,881 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,334 · 2,369 30-day fills |
|---|---|
| Patients | 116 |
| Total drug cost | $117,660 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Jefferson County HospitalFairfield, IA · 47 clinicians
- Foot and Ankle Clinics of Southern Iowa PCOttumwa, IA · 8 clinicians
Hospital affiliations
- Jefferson County Health CenterFairfield, IA
- Mahaska Health PartnershipOskaloosa, IA
- Ottumwa Regional Health CenterOttumwa, IA
- Pella Regional Health CenterPella, IA
Industry payments (Open Payments)
- 2025$311.67 · 15 payments from 8 companies
- 2024$107.67 · 8 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $70.89 | 4 |
| Amgen Inc. | $49.49 | 1 |
| Insulet Corporation | $45.48 | 1 |
| Exact Sciences Corporation | $34.97 | 2 |
| Sanofi-Aventis U.S. LLC | $33.73 | 2 |
What the 2025 payments were for
- Food and Beverage$311.67 · 15 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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