Kara Vinyard
NPI 1255846689ActiveIndividual· Nurse Practitioner· Union City, TN
Nurse Practitioner with Dyersburg Family Walk-In Clinic, practicing in Union City, Tennessee. Their prescriptions cost Medicare Part D more than their services did: $82,647 for 843 claims, against $1,080 paid for services in 2024. Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) was the largest of 3 companies reporting payments in 2025, $54.24 in all, mostly food and beverage.
Overview
| NPI | 1255846689 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Dec 7, 2017 |
| Last updated in NPPES | Dec 7, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | PENDING | TN |
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 (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 35 |
|---|---|
| Services billed | 67 across 12 procedure codes |
| Paid by Medicare | $1,080 |
Part D prescriptions in 2024
| Prescriptions (claims) | 843 · 1,485 30-day fills |
|---|---|
| Patients | 174 |
| Total drug cost | $82,647 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Dyersburg Family Walk-In ClinicUnion City, TN · 25 clinicians
Industry payments (Open Payments)
- 2025$54.24 · 3 payments from 3 companies
- 2024$16.77 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $20.03 | 1 |
| Novo Nordisk Inc | $18.45 | 1 |
| Dexcom, Inc. | $15.76 | 1 |
What the 2025 payments were for
- Food and Beverage$54.24 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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