Raime L. Misko, APRN
NPI 1194276782ActiveIndividual· Nurse Practitioner, Family· Lexington, NE
Nurse Practitioner, Family (APRN) with Value Based Long Term Care B PC and 2 other groups, practicing in Lexington, Nebraska. In 2024 Medicare paid $618,956 for 152 patients, and Part D covered 400 of their prescriptions, 84% of them generic. Pfizer Inc. was the largest of 6 companies reporting payments in 2025, $179.14 in all, mostly food and beverage. Lists Bryan Medical Center as a hospital affiliation.
Overview
| NPI | 1194276782 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | No |
| NPI issued | Oct 18, 2016 |
| Last updated in NPPES | Oct 18, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 112130 | NE |
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 (NE) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 152 |
|---|---|
| Services billed | 1,563 across 26 procedure codes |
| Paid by Medicare | $618,956 |
Part D prescriptions in 2024
| Prescriptions (claims) | 400 · 610 30-day fills |
|---|---|
| Patients | 78 |
| Total drug cost | $21,643 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical groups
- Value Based Long Term Care B PCLincoln, NE · 25 clinicians
- Nebraska House Call Physicians PCLincoln, NE · 24 clinicians
- Vitalize Health LLCLincoln, NE · 5 clinicians
Hospital affiliation
- Bryan Medical CenterLincoln, NE
Industry payments (Open Payments)
- 2025$179.14 · 7 payments from 6 companies
- 2024$185.32 · 9 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Pfizer Inc. | $100.48 | 2 |
| Amgen Inc. | $18.63 | 1 |
| Acella Pharmaceuticals, LLC | $15.32 | 1 |
| Smith+nephew, Inc. | $15.23 | 1 |
| Otsuka America Pharmaceutical, Inc. | $15.16 | 1 |
What the 2025 payments were for
- Food and Beverage$179.14 · 7 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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