April E. Palmer, NP-C
NPI 1184130056ActiveIndividual· Nurse Practitioner, Family· Wyomissing, PA
Nurse Practitioner, Family (NP-C) with Regional Gastroenterology Associates of Lancaster, Ltd., practicing in Wyomissing, Pennsylvania. 242 Medicare patients in 2024, $48,869 paid; nearly all of their 1,018 Part D prescriptions were generic (99%). Janssen Biotech, Inc. was the largest of 19 companies reporting payments in 2025, $2,535 in all, mostly food and beverage. Lists Penn State Health St. Joseph and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1184130056 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP-C |
| Sole proprietor | No |
| NPI issued | Dec 14, 2017 |
| Last updated in NPPES | Oct 24, 2024 |
| Certified by provider | Oct 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | SP018336 | PA |
| Pain Medicine, Pain Medicine | 208VP0000X | SP018336 | PA |
| Pain Medicine, Interventional Pain Medicine | 208VP0014X | SP018336 | PA |
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 (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 242 |
|---|---|
| Services billed | 809 across 16 procedure codes |
| Paid by Medicare | $48,869 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,018 · 1,222 30-day fills |
|---|---|
| Patients | 264 |
| Total drug cost | $11,962 |
| Generic share | 99% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Regional Gastroenterology Associates of Lancaster, Ltd.Lancaster, PA · 244 clinicians
Hospital affiliations
- Penn State Health St. JosephReading, PA
- Phoenixville HospitalPhoenixville, PA
- Pottstown HospitalPottstown, PA
- Reading HospitalWest Reading, PA
Industry payments (Open Payments)
- 2025$2,535 · 112 payments from 19 companies
- 2024$1,285 · 62 payments from 14 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Janssen Biotech, Inc. | $526.59 | 16 |
| Madrigal Pharmaceuticals | $407.15 | 7 |
| Abbvie Inc. | $308.10 | 24 |
| Genzyme Corporation | $220.52 | 6 |
| Ardelyx, Inc. | $179.67 | 8 |
What the 2025 payments were for
- Food and Beverage$2,450 · 111 payments
- Education$84.99 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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