Rachael K. Falle, NP
NPI 1174889323ActiveIndividual· Nurse Practitioner, Adult Health· Sheboygan, WI
Nurse Practitioner, Adult Health (NP) with Sheboygan Physicians Group S.C., practicing in Sheboygan, Wisconsin. Their prescriptions cost Medicare Part D more than their services did: $331,037 for 6,072 claims, against $33,772 paid for services in 2024. Abbvie Inc. reported $18.70 in payments in 2025, mostly food and beverage. Lists St Nicholas Hospital as a hospital affiliation.
Overview
| NPI | 1174889323 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Apr 2, 2012 |
| Last updated in NPPES | Dec 22, 2021 |
| Certified by provider | Dec 22, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | 4804-33 | WI |
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 (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 175 |
|---|---|
| Services billed | 712 across 42 procedure codes |
| Paid by Medicare | $33,772 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,072 · 6,936 30-day fills |
|---|---|
| Patients | 435 |
| Total drug cost | $331,037 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Sheboygan Physicians Group S.C.Sheboygan, WI · 15 clinicians
Hospital affiliation
- St Nicholas HospitalSheboygan, WI
Industry payments (Open Payments)
- 2025$18.70 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $18.70 | 1 |
What the 2025 payments were for
- Food and Beverage$18.70 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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