Fred J. Sesti, FNP
NPI 1174618516ActiveIndividual· Nurse Practitioner· Jackson, TN
Nurse Practitioner (FNP) with Jackson Madison County General Hospital, practicing in Jackson, Tennessee. Their prescriptions cost Medicare Part D more than their services did: $556,544 for 5,407 claims, against $41,821 paid for services in 2024. Sanofi-Aventis U.S. LLC was the largest of 19 companies reporting payments in 2025, $891.66 in all, mostly food and beverage. Lists Dyersburg Regional Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1174618516 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Oct 3, 2006 |
| Last updated in NPPES | Aug 29, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | APN0000007704 | 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 | 246 |
|---|---|
| Services billed | 1,170 across 51 procedure codes |
| Paid by Medicare | $41,821 |
Part D prescriptions in 2024
| Prescriptions (claims) | 5,407 · 10,897 30-day fills |
|---|---|
| Patients | 325 |
| Total drug cost | $556,544 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Jackson Madison County General HospitalJackson, TN · 55 clinicians
Hospital affiliations
- Dyersburg Regional Medical CenterDyersburg, TN
- Jackson-Madison County General HospitalJackson, TN
Industry payments (Open Payments)
- 2025$891.66 · 34 payments from 19 companies
- 2024$652.10 · 28 payments from 16 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Sanofi-Aventis U.S. LLC | $224.95 | 2 |
| Glaxosmithkline, LLC. | $106.78 | 5 |
| Novartis Pharmaceuticals Corporation | $76.59 | 3 |
| Lilly USA, LLC | $69.29 | 3 |
| Merck Sharp & Dohme LLC | $52.79 | 2 |
What the 2025 payments were for
- Food and Beverage$791.71 · 33 payments
- Education$99.95 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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