Rachel M. Smith, AGPCNP-BC
NPI 1356748552ActiveIndividual· Nurse Practitioner, Adult Health· Buffalo, NY
Nurse Practitioner, Adult Health (AGPCNP-BC) with Kaleida Health and 1 other group, practicing in Buffalo, New York. Their prescriptions cost Medicare Part D more than their services did: $205,232 for 1,196 claims, against $9,065 paid for services in 2024. Astellas Pharma US Inc reported $98.30 in payments in 2025, mostly education. Lists Brooks-Tlc Hospital System, Inc and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1356748552 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AGPCNP-BC |
| Sole proprietor | No |
| NPI issued | Dec 3, 2014 |
| Last updated in NPPES | Mar 3, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | F306818-1 | NY |
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 (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 109 |
|---|---|
| Services billed | 289 across 12 procedure codes |
| Paid by Medicare | $9,065 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,196 · 2,033 30-day fills |
|---|---|
| Patients | 478 |
| Total drug cost | $205,232 |
| Generic share | 79% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical groups
- Kaleida HealthBuffalo, NY · 236 clinicians
- Great Lakes Physician PCCheektowaga, NY · 66 clinicians
Hospital affiliations
- Brooks-Tlc Hospital System, IncDunkirk, NY
- Kaleida HealthBuffalo, NY
- Mercy Hospital of BuffaloBuffalo, NY
- Mount St. Mary's Hospital & Health CenterLewiston, NY
- Sisters of Charity HospitalBuffalo, NY
Industry payments (Open Payments)
- 2025$98.30 · 2 payments from 1 company
- 2024$142.61 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astellas Pharma US Inc | $98.30 | 2 |
What the 2025 payments were for
- Education$74.99 · 1 payment
- Food and Beverage$23.31 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 206 adult health nurse practitioners in Buffalo · All adult health nurse practitioners in New York