Terry M. Silvestrin, ARNP
NPI 1174523138ActiveIndividual· Nurse Practitioner, Women's Health· Tacoma, WA
Nurse Practitioner, Women's Health (ARNP) with Multicare Health System, practicing in Tacoma, Washington. Their prescriptions cost Medicare Part D more than their services did: $24,286 for 433 claims, against $6,176 paid for services in 2024. Astellas Pharma US Inc reported $90.00 in payments in 2024, mostly education. Lists Tacoma General Allenmore Hospital as a hospital affiliation.
Overview
| NPI | 1174523138 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ARNP |
| Sole proprietor | No |
| NPI issued | Jul 29, 2005 |
| Last updated in NPPES | Dec 19, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Women's Health Primary | 363LW0102X | AP30000319 | WA |
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 (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 91 |
|---|---|
| Services billed | 142 across 10 procedure codes |
| Paid by Medicare | $6,176 |
Part D prescriptions in 2024
| Prescriptions (claims) | 433 · 1,044 30-day fills |
|---|---|
| Patients | 125 |
| Total drug cost | $24,286 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 1981 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Multicare Health SystemTacoma, WA · 2,325 clinicians
Hospital affiliation
- Tacoma General Allenmore HospitalTacoma, WA
Industry payments (Open Payments)
- 2024$90.00 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Astellas Pharma US Inc | $90.00 | 1 |
What the 2024 payments were for
- Education$90.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 20 women's health nurse practitioners in Tacoma · All women's health nurse practitioners in Washington