April Lynn Smith, AGPCNP-BC
NPI 1346605557ActiveIndividual· Nurse Practitioner, Adult Health· Lincoln, NE
Nurse Practitioner, Adult Health (AGPCNP-BC) with Alivation Health LLC, practicing in Lincoln, Nebraska. Their prescriptions cost Medicare Part D more than their services did: $420,028 for 3,993 claims, against $24,403 paid for services in 2024. Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) was the largest of 12 companies reporting payments in 2025, $1,582 in all, mostly food and beverage. Lists The Nebraska Medical Center as a hospital affiliation.
Overview
| NPI | 1346605557 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AGPCNP-BC |
| Sole proprietor | No |
| NPI issued | Dec 15, 2015 |
| Last updated in NPPES | Mar 26, 2026 |
| Certified by provider | Mar 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | 111933 | NE |
| Nurse Practitioner, Family | 363LF0000X | 111933 | NE |
| Nurse Practitioner, Gerontology | 363LG0600X | 111933 | NE |
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 (KY); Practitioner - Nurse Practitioner (NE) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 142 |
|---|---|
| Services billed | 493 across 25 procedure codes |
| Paid by Medicare | $24,403 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,993 · 5,201 30-day fills |
|---|---|
| Patients | 273 |
| Total drug cost | $420,028 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Alivation Health LLCLincoln, NE · 14 clinicians
Hospital affiliation
- The Nebraska Medical CenterOmaha, NE
Industry payments (Open Payments)
- 2025$1,582 · 125 payments from 12 companies
- 2024$1,076 · 86 payments from 14 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $440.63 | 26 |
| Alkermes, Inc. | $301.33 | 35 |
| Axsome Therapeutics, Inc. | $198.58 | 19 |
| Otsuka America Pharmaceutical, Inc. | $180.30 | 12 |
| E.R. Squibb & Sons, L.L.C. | $173.96 | 17 |
What the 2025 payments were for
- Food and Beverage$1,582 · 125 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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