Kristy Marie Bestgen, MSN, APRN, FNP-C
NPI 1326487315ActiveIndividual· Nurse Practitioner, Family· Washington, MO
Nurse Practitioner, Family (MSN, APRN, FNP-C) with Mercy Clinic East Communities, practicing in Washington, Missouri. Their prescriptions cost Medicare Part D more than their services did: $206,853 for 2,229 claims, against $40,277 paid for services in 2024. Lilly USA, LLC was the largest of 19 companies reporting payments in 2025, $1,411 in all, mostly food and beverage. Lists Mercy Hospital South and 1 other hospital as hospital affiliations.
Overview
| NPI | 1326487315 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSN, APRN, FNP-C |
| Sole proprietor | No |
| NPI issued | Jun 23, 2013 |
| Last updated in NPPES | Jul 16, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 2013019430 | MO |
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 (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 225 |
|---|---|
| Services billed | 757 across 36 procedure codes |
| Paid by Medicare | $40,277 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,229 · 4,967 30-day fills |
|---|---|
| Patients | 536 |
| Total drug cost | $206,853 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Mercy Clinic East CommunitiesSaint Louis, MO · 571 clinicians
Hospital affiliations
- Mercy Hospital SouthSaint Louis, MO
- Mercy Hospital St LouisSaint Louis, MO
Other facilities
- Mercy Home HealthHome health agency · Saint Louis, MO
Industry payments (Open Payments)
- 2025$1,411 · 76 payments from 19 companies
- 2024$1,315 · 73 payments from 20 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $246.73 | 15 |
| Novo Nordisk Inc | $223.38 | 12 |
| Abbvie Inc. | $152.74 | 7 |
| Pfizer Inc. | $146.53 | 8 |
| Astrazeneca Pharmaceuticals LP | $102.86 | 6 |
What the 2025 payments were for
- Food and Beverage$1,411 · 76 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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