Tammy Kruger, CNP
Nurse Practitioner, Adult Health (CNP) with Onyx Sands Senior Care PC and 1 other group, practicing in Novi, Michigan. Their prescriptions cost Medicare Part D more than their services did: $268,620 for 3,936 claims, against $65,754 paid for services in 2024. Teva Pharmaceuticals USA, Inc. was the largest of 13 companies reporting payments in 2025, $854.41 in all, mostly food and beverage. Lists Memorial Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1184135766 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CNP |
| Sole proprietor | No |
| NPI issued | Oct 23, 2017 |
| Last updated in NPPES | May 6, 2024 |
| Certified by provider | May 6, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | APRN.CNP.023708 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MI); Practitioner - Nurse Practitioner (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 337 |
|---|---|
| Services billed | 1,212 across 8 procedure codes |
| Paid by Medicare | $65,754 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,936 · 4,454 30-day fills |
|---|---|
| Patients | 366 |
| Total drug cost | $268,620 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Onyx Sands Senior Care PCPiketon, OH · 6 clinicians
- Peyton Care Professionals LLCMaumee, OH · 6 clinicians
Hospital affiliations
- Memorial HospitalFremont, OH
- Mercy Health - Tiffin HospitalTiffin, OH
- University of Toledo Medical CenterToledo, OH
Industry payments (Open Payments)
- 2025$854.41 · 40 payments from 13 companies
- 2024$152.17 · 9 payments from 8 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Teva Pharmaceuticals USA, Inc. | $237.52 | 12 |
| Lundbeck LLC | $139.88 | 9 |
| Dexcom, Inc. | $136.36 | 1 |
| Neurocrine Biosciences, Inc. | $101.97 | 5 |
| Otsuka America Pharmaceutical, Inc. | $52.16 | 3 |
What the 2025 payments were for
- Food and Beverage$795.92 · 39 payments
- Education$58.49 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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