Kristina Spitale-Efstratis, ARPN
NPI 1225532542ActiveIndividual· Nurse Practitioner· Reno, NV
Nurse Practitioner (ARPN) with Oneill Clark Narvarte and Vicks A Professional Corporation, practicing in Reno, Nevada. Their prescriptions cost Medicare Part D more than their services did: $210,772 for 550 claims, against $4,921 paid for services in 2024. Apellis Pharmaceuticals, Inc. was the largest of 18 companies reporting payments in 2025, $1,025 in all, mostly food and beverage. Lists Carson Tahoe Regional Medical Center and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1225532542 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ARPN |
| Sole proprietor | No |
| NPI issued | Mar 21, 2018 |
| Last updated in NPPES | Sep 12, 2026 |
| Certified by provider | Sep 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | APRN002867 | NV |
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 (NV) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 61 |
|---|---|
| Services billed | 65 across 10 procedure codes |
| Paid by Medicare | $4,921 |
Part D prescriptions in 2024
| Prescriptions (claims) | 550 · 1,215 30-day fills |
|---|---|
| Patients | 143 |
| Total drug cost | $210,772 |
| Generic share | 78% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Oneill Clark Narvarte and Vicks A Professional CorporationCarson City, NV · 24 clinicians
Hospital affiliations
- Carson Tahoe Regional Medical CenterCarson City, NV
- Northern Nevada Medical CenterSparks, NV
- Renown Regional Medical CenterReno, NV
- Renown South Meadows Medical CenterReno, NV
- Tahoe Forest HospitalTruckee, CA
Industry payments (Open Payments)
- 2025$1,025 · 40 payments from 18 companies
- 2024$610.48 · 18 payments from 14 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Apellis Pharmaceuticals, Inc. | $233.78 | 6 |
| Travere Therapeutics, Inc. | $157.38 | 5 |
| Genzyme Corporation | $94.66 | 4 |
| Novartis Pharmaceuticals Corporation | $78.82 | 3 |
| Amgen Inc. | $78.67 | 3 |
What the 2025 payments were for
- Food and Beverage$969.11 · 37 payments
- Education$56.34 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 145 nurse practitioners in Reno · All nurse practitioners in Nevada