Thresa Silverest, AGACNP
NPI 1164288858ActiveIndividual· Nurse Practitioner, Acute Care· Fort Myers, FL
Nurse Practitioner, Acute Care (AGACNP) with Millennium Physician Group LLC, practicing in Fort Myers, Florida. Their prescriptions cost Medicare Part D more than their services did: $44,857 for 514 claims, against $5,647 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 5 companies reporting payments in 2024, $133.24 in all, mostly food and beverage. Lists Cape Coral Hospital and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1164288858 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AGACNP |
| Sole proprietor | Yes |
| NPI issued | Feb 21, 2024 |
| Last updated in NPPES | Sep 19, 2024 |
| Certified by provider | Sep 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | 9511960 | FL |
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 (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 37 |
|---|---|
| Services billed | 75 across 12 procedure codes |
| Paid by Medicare | $5,647 |
Part D prescriptions in 2024
| Prescriptions (claims) | 514 · 779 30-day fills |
|---|---|
| Patients | 146 |
| Total drug cost | $44,857 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Millennium Physician Group LLCJacksonville, FL · 982 clinicians
Hospital affiliations
- Cape Coral HospitalCape Coral, FL
- Gulf Coast Medical Center Lee HealthFort Myers, FL
- HCA Florida Fawcett HospitalPort Charlotte, FL
- HCA Florida Lehigh HospitalLehigh Acres, FL
- Lee Memorial HospitalFort Myers, FL
Industry payments (Open Payments)
- 2024$133.24 · 7 payments from 5 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $54.34 | 3 |
| Bayer Healthcare Pharmaceuticals Inc. | $26.31 | 1 |
| Ardelyx, Inc. | $22.53 | 1 |
| Fresenius USA Marketing, Inc. | $16.25 | 1 |
| Lilly USA, LLC | $13.81 | 1 |
What the 2024 payments were for
- Food and Beverage$133.24 · 7 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 52 acute care nurse practitioners in Fort Myers · All acute care nurse practitioners in Florida