Tierra Royal, FNP-C
NPI 1205696010ActiveIndividual· Nurse Practitioner· Fredericksburg, VA
Nurse Practitioner (FNP-C) with Starting Point of Virginia PC, practicing in Fredericksburg, Virginia. Part D covered 128 prescriptions written in 2024, 88% of them generic. Indivior Inc. was the largest of 2 companies reporting payments in 2025, $67.42 in all, mostly food and beverage.
Overview
| NPI | 1205696010 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-C |
| Sole proprietor | No |
| NPI issued | Mar 20, 2024 |
| Last updated in NPPES | Jan 4, 2026 |
| Certified by provider | Jan 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 0024189873 | VA |
| Nurse Practitioner, Family | 363LF0000X | 0024189873 | VA |
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) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 128 · 144 30-day fills |
|---|---|
| Patients | 70 |
| Total drug cost | $1,956 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Starting Point of Virginia PCSouth Prince George, VA · 28 clinicians
Industry payments (Open Payments)
- 2025$67.42 · 4 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Indivior Inc. | $47.38 | 3 |
| Braeburn Inc. | $20.04 | 1 |
What the 2025 payments were for
- Food and Beverage$67.42 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other nurse practitioners in Fredericksburg
- 1033845748
- 1073279972
- 1093768947
- 1114646601
- 1245873306
- 1295512507
- 1356998884
- 1417625351
- 1447560669
- 1447942057
- 1508049818
- 1518515667
All 63 nurse practitioners in Fredericksburg · All nurse practitioners in Virginia