Sara Webster Merkle, CNP
NPI 1326770009ActiveIndividual· Nurse Practitioner, Family· Signal Mountain, TN
Nurse Practitioner, Family (CNP) with Fast Access Healthcare, practicing in Signal Mountain, Tennessee. Their prescriptions cost Medicare Part D more than their services did: $495,272 for 3,591 claims, against $25,224 paid for services in 2024. Otsuka America Pharmaceutical, Inc. was the largest of 4 companies reporting payments in 2024, $242.63 in all, mostly food and beverage.
Overview
| NPI | 1326770009 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CNP |
| Sole proprietor | Yes |
| NPI issued | Jun 30, 2022 |
| Last updated in NPPES | Jun 30, 2022 |
| Certified by provider | Jun 30, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 31866 | 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 (AL); Practitioner - Nurse Practitioner (GA); Practitioner - Nurse Practitioner (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 82 |
|---|---|
| Services billed | 981 across 28 procedure codes |
| Paid by Medicare | $25,224 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,591 · 7,773 30-day fills |
|---|---|
| Patients | 240 |
| Total drug cost | $495,272 |
| Generic share | 82% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Fast Access HealthcareSale Creek, TN · 10 clinicians
Industry payments (Open Payments)
- 2024$242.63 · 9 payments from 4 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Otsuka America Pharmaceutical, Inc. | $147.41 | 3 |
| Astrazeneca Pharmaceuticals LP | $43.80 | 3 |
| Abbvie Inc. | $35.95 | 2 |
| Amgen Inc. | $15.47 | 1 |
What the 2024 payments were for
- Food and Beverage$242.63 · 9 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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