Nicole M. Wirtz, PA-C
NPI 1184933806ActiveIndividual· Physician Assistant, Surgical· Springfield, IL
Physician Assistant, Surgical (PA-C) in Springfield, Illinois, licensed in IL, with an NPI issued in September 2010. 243 Medicare patients in 2024, $46,533 paid; nearly all of their 340 Part D prescriptions were generic (99%).
Overview
| NPI | 1184933806 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 29, 2010 |
| Last updated in NPPES | May 19, 2020 |
| Certified by provider | May 19, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 085003906 | IL |
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 - Physician Assistant (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 243 |
|---|---|
| Services billed | 3,730 across 36 procedure codes |
| Paid by Medicare | $46,533 |
Part D prescriptions in 2024
| Prescriptions (claims) | 340 · 359 30-day fills |
|---|---|
| Patients | 183 |
| Total drug cost | $3,935 |
| Generic share | 99% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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