Jessica Lynn Speir, NP
NPI 1225241334ActiveIndividual· Nurse Practitioner, Adult Health· Tacoma, WA
Nurse Practitioner, Adult Health (NP) with Multicare Health System, practicing in Tacoma, Washington. Their prescriptions cost Medicare Part D more than their services did: $82,403 for 1,040 claims, against $34,139 paid for services in 2024. Medtronic, Inc. was the largest of 5 companies reporting payments in 2025, $1,014 in all, mostly travel and lodging. Lists Multicare Covington Medical Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1225241334 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | May 7, 2007 |
| Last updated in NPPES | Apr 25, 2024 |
| Certified by provider | Jul 19, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | AP60261324 | WA |
| Nurse Practitioner | 363L00000X | 0024166665 | 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 (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 238 |
|---|---|
| Services billed | 2,870 across 31 procedure codes |
| Paid by Medicare | $34,139 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,040 · 1,929 30-day fills |
|---|---|
| Patients | 401 |
| Total drug cost | $82,403 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Multicare Health SystemTacoma, WA · 2,325 clinicians
Hospital affiliations
- Multicare Covington Medical CenterCovington, WA
- Multicare Good Samaritan HospitalPuyallup, WA
- Tacoma General Allenmore HospitalTacoma, WA
Industry payments (Open Payments)
- 2025$1,014 · 19 payments from 5 companies
- 2024$330.71 · 11 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $854.08 | 14 |
| Urogen Pharma, Inc. | $76.95 | 2 |
| Astrazeneca Pharmaceuticals LP | $35.06 | 1 |
| Endo USA, Inc. | $26.39 | 1 |
| Tolmar, Inc. | $21.58 | 1 |
What the 2025 payments were for
- Travel and Lodging$740.46 · 7 payments
- Food and Beverage$211.54 · 10 payments
- Education$62.06 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 55 adult health nurse practitioners in Tacoma · All adult health nurse practitioners in Washington