Rachel Middleton Spagnoli
NPI 1255890943ActiveIndividual· Nurse Practitioner· Alpharetta, GA
Nurse Practitioner in Alpharetta, Georgia, licensed in GA, with an NPI issued in March 2019. Part D covered 214 prescriptions written in 2024, 82% of them generic. Lilly USA, LLC was the largest of 21 companies reporting payments in 2025, $1,218 in all, mostly food and beverage.
Overview
| NPI | 1255890943 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Mar 13, 2019 |
| Last updated in NPPES | Sep 25, 2023 |
| Certified by provider | Sep 25, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | RN222965 | GA |
| Registered Nurse | 163W00000X | RN222965 | GA |
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 (GA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 214 · 444 30-day fills |
|---|---|
| Patients | 47 |
| Total drug cost | $13,325 |
| Generic share | 82% of claims |
Industry payments (Open Payments)
- 2025$1,218 · 63 payments from 21 companies
- 2024$946.35 · 50 payments from 19 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $148.47 | 10 |
| Novo Nordisk Inc | $148.05 | 9 |
| Noven Therapeutics, LLC | $95.35 | 5 |
| Astellas Pharma US Inc | $75.18 | 3 |
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | $75.04 | 4 |
What the 2025 payments were for
- Food and Beverage$1,218 · 63 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 32 nurse practitioners in Alpharetta · All nurse practitioners in Georgia