Herline Raphael
NPI 1326584046ActiveIndividual· Nurse Practitioner· Stroudsburg, PA
Nurse Practitioner with Advanced Inpatient Medicine PC and 4 other groups, practicing in Stroudsburg, Pennsylvania. Their prescriptions cost Medicare Part D more than their services did: $163,814 for 2,344 claims, against $80,654 paid for services in 2024. Lists Wayne Memorial Hospital as a hospital affiliation.
Overview
| NPI | 1326584046 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jan 19, 2017 |
| Last updated in NPPES | Jan 19, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | SP017091 | PA |
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 (NY); Practitioner - Nurse Practitioner (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 750 |
|---|---|
| Services billed | 1,752 across 3 procedure codes |
| Paid by Medicare | $80,654 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,344 · 2,364 30-day fills |
|---|---|
| Patients | 107 |
| Total drug cost | $163,814 |
| Generic share | 75% of claims |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical groups
- Advanced Inpatient Medicine PCHonesdale, PA · 24 clinicians
- Essential OT PT Slp and Psychology Services PLLCBaldwin, NY · 5 clinicians
- Comprehensive OT PT Slp and Adult Health NP Services, PLLCStroudsburg, PA · 3 clinicians
- NP Family Health Visits and NP Adult Health Visits PLLCNewburgh, NY · 3 clinicians
- Snp Direct Paths LLCNesquehoning, PA · 2 clinicians
Hospital affiliation
- Wayne Memorial HospitalHonesdale, PA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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