Breana Strong
NPI 1184206658ActiveIndividual· Nurse Practitioner· Howell, MI
Nurse Practitioner with Avalon Consultants PLLC, practicing in Howell, Michigan. Their prescriptions cost Medicare Part D more than their services did: $432,759 for 7,888 claims, against $138,490 paid for services in 2024. Otsuka America Pharmaceutical, Inc. was the largest of 5 companies reporting payments in 2025, $167.36 in all, mostly food and beverage. Lists Trinity Health Livingston Hospital as a hospital affiliation.
Overview
| NPI | 1184206658 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 24, 2021 |
| Last updated in NPPES | Oct 30, 2026 |
| Certified by provider | Oct 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 4704318297 | MI |
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 (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 148 |
|---|---|
| Services billed | 1,746 across 29 procedure codes |
| Paid by Medicare | $138,490 |
Part D prescriptions in 2024
| Prescriptions (claims) | 7,888 · 8,341 30-day fills |
|---|---|
| Patients | 251 |
| Total drug cost | $432,759 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Avalon Consultants PLLCNovi, MI · 6 clinicians
Hospital affiliation
- Trinity Health Livingston HospitalHowell, MI
Other facilities
- Better You Home Health, LLCHome health agency · Dearborn, MI
- CaretendersHome health agency · Farmington Hills, MI
- Centerwell Home HealthHome health agency · Flint, MI
- Seasons Home Health CareHome health agency · Portage, MI
- The Medical TeamHome health agency · Livonia, MI
- Harmony at Home Hospice, LLCHospice · Chesaning, MI
- The Care Team HospiceHospice · Flint, MI
Industry payments (Open Payments)
- 2025$167.36 · 8 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Otsuka America Pharmaceutical, Inc. | $90.70 | 4 |
| Corcept Therapeutics | $24.03 | 1 |
| Astrazeneca Pharmaceuticals LP | $21.70 | 1 |
| Amneal Pharmaceuticals LLC | $16.42 | 1 |
| Lilly USA, LLC | $14.51 | 1 |
What the 2025 payments were for
- Food and Beverage$167.36 · 8 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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