Meredith Shamas, FNP-C
NPI 1346827789ActiveIndividual· Nurse Practitioner, Family· Sierra Vista, AZ
Nurse Practitioner, Family (FNP-C) with Heart and Vascular Associates LLC, practicing in Sierra Vista, Arizona. Their prescriptions cost Medicare Part D more than their services did: $544,450 for 3,064 claims, against $136,340 paid for services in 2024. Impulse Dynamics (USA) Inc. was the largest of 5 companies reporting payments in 2025, $124.06 in all, mostly food and beverage. Lists Canyon Vista Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1346827789 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-C |
| Sole proprietor | No |
| NPI issued | Mar 24, 2021 |
| Last updated in NPPES | Mar 24, 2021 |
| Certified by provider | Mar 24, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 255835 | AZ |
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 (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 806 |
|---|---|
| Services billed | 2,859 across 7 procedure codes |
| Paid by Medicare | $136,340 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,064 · 8,152 30-day fills |
|---|---|
| Patients | 621 |
| Total drug cost | $544,450 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Heart and Vascular Associates LLCSierra Vista, AZ · 5 clinicians
Hospital affiliations
- Canyon Vista Medical CenterSierra Vista, AZ
- Copper Queen Community HospitalBisbee, AZ
Industry payments (Open Payments)
- 2025$124.06 · 5 payments from 5 companies
- 2024$134.85 · 4 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Impulse Dynamics (USA) Inc. | $43.80 | 1 |
| Abbott Laboratories | $28.00 | 1 |
| Novo Nordisk Inc | $22.76 | 1 |
| Novartis Pharmaceuticals Corporation | $15.69 | 1 |
| Amgen Inc. | $13.81 | 1 |
What the 2025 payments were for
- Food and Beverage$124.06 · 5 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 52 family nurse practitioners in Sierra Vista · All family nurse practitioners in Arizona