Rachel L. Schreier, APRN, BC
NPI 1194902452ActiveIndividual· Nurse Practitioner, Acute Care· Roanoke, VA
Nurse Practitioner, Acute Care (APRN, BC) with Carilion Medical Center, practicing in Roanoke, Virginia. Their prescriptions cost Medicare Part D more than their services did: $146,262 for 544 claims, against $3,592 paid for services in 2024. Biosense Webster, Inc. was the largest of 3 companies reporting payments in 2025, $658.44 in all, mostly food and beverage. Lists Carilion Medical Center as a hospital affiliation.
Overview
| NPI | 1194902452 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN, BC |
| Sole proprietor | No |
| NPI issued | Jan 29, 2008 |
| Last updated in NPPES | Dec 15, 2023 |
| Certified by provider | Dec 15, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | 0024188414 | VA |
| Nurse Practitioner, Acute Care | 363LA2100X | 13204 | TN |
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 (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 65 |
|---|---|
| Services billed | 98 across 10 procedure codes |
| Paid by Medicare | $3,592 |
Part D prescriptions in 2024
| Prescriptions (claims) | 544 · 1,195 30-day fills |
|---|---|
| Patients | 230 |
| Total drug cost | $146,262 |
| Generic share | 76% of claims |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Carilion Medical CenterRoanoke, VA · 977 clinicians
Hospital affiliation
- Carilion Medical CenterRoanoke, VA
Industry payments (Open Payments)
- 2025$658.44 · 12 payments from 3 companies
- 2024$847.13 · 12 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Biosense Webster, Inc. | $393.50 | 4 |
| Medtronic, Inc. | $203.71 | 7 |
| Boston Scientific Corporation | $61.23 | 1 |
What the 2025 payments were for
- Food and Beverage$644.94 · 11 payments
- Education$13.50 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 38 acute care nurse practitioners in Roanoke · All acute care nurse practitioners in Virginia