Trudy B. Istre, RN FNP-C
NPI 1346581931ActiveIndividual· Nurse Practitioner· Baytown, TX
Nurse Practitioner (RN FNP-C) with Tmh Physician Associates PLLC, practicing in Baytown, Texas. Their prescriptions cost Medicare Part D more than their services did: $408,555 for 3,479 claims, against $28,233 paid for services in 2024. Novo Nordisk Inc was the largest of 20 companies reporting payments in 2025, $1,060 in all, mostly food and beverage. Lists Houston Methodist Baytown Hospital as a hospital affiliation.
Overview
| NPI | 1346581931 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RN FNP-C |
| Sole proprietor | No |
| NPI issued | Mar 7, 2013 |
| Last updated in NPPES | Apr 23, 2021 |
| Certified by provider | Apr 23, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | AP123347 | TX |
| Nurse Practitioner, Family | 363LF0000X | 605007 | TX |
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 (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 146 |
|---|---|
| Services billed | 671 across 24 procedure codes |
| Paid by Medicare | $28,233 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,479 · 8,647 30-day fills |
|---|---|
| Patients | 560 |
| Total drug cost | $408,555 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Tmh Physician Associates PLLCKaty, TX · 1,690 clinicians
Hospital affiliation
- Houston Methodist Baytown HospitalBaytown, TX
Other facilities
- Signature Health ServicesHome health agency · Baytown, TX
Industry payments (Open Payments)
- 2025$1,060 · 59 payments from 20 companies
- 2024$1,040 · 57 payments from 20 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $204.79 | 9 |
| Lilly USA, LLC | $181.20 | 16 |
| Bayer Healthcare Pharmaceuticals Inc. | $95.20 | 4 |
| Exact Sciences Corporation | $81.05 | 3 |
| Glaxosmithkline, LLC. | $71.89 | 4 |
What the 2025 payments were for
- Food and Beverage$1,060 · 59 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 16 nurse practitioners in Baytown · All nurse practitioners in Texas