Deborah S. Nale, APN
NPI 1164745998ActiveIndividual· Nurse Practitioner, Family· Dyersburg, TN
Nurse Practitioner, Family (APN) with Better Health Family Clinic Inc, practicing in Dyersburg, Tennessee. Their prescriptions cost Medicare Part D more than their services did: $453,115 for 6,202 claims, against $1,514 paid for services in 2024. Astrazeneca Pharmaceuticals LP reported $20.67 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1164745998 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APN |
| Sole proprietor | No |
| NPI issued | Mar 8, 2010 |
| Last updated in NPPES | Jan 30, 2026 |
| Certified by provider | Jan 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 57499 | TN |
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 (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 41 |
|---|---|
| Services billed | 159 across 37 procedure codes |
| Paid by Medicare | $1,514 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,202 · 8,691 30-day fills |
|---|---|
| Patients | 195 |
| Total drug cost | $453,115 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Better Health Family Clinic IncDyersburg, TN · 6 clinicians
Industry payments (Open Payments)
- 2025$20.67 · 1 payment from 1 company
- 2024$269.62 · 20 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $20.67 | 1 |
What the 2025 payments were for
- Food and Beverage$20.67 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 48 family nurse practitioners in Dyersburg · All family nurse practitioners in Tennessee