Virginia Fikes, FNP-C
NPI 1376112961ActiveIndividual· Nurse Practitioner, Family· Libby, MT
Nurse Practitioner, Family (FNP-C) with Libby Clinic, practicing in Libby, Montana. Their prescriptions cost Medicare Part D more than their services did: $140,133 for 1,589 claims, against $1,180 paid for services in 2024. Csl Behring was the largest of 4 companies reporting payments in 2025, $133.51 in all, mostly food and beverage. Lists Cabinet Peaks Medical Center as a hospital affiliation.
Overview
| NPI | 1376112961 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-C |
| Sole proprietor | No |
| NPI issued | Jun 18, 2021 |
| Last updated in NPPES | Dec 27, 2021 |
| Certified by provider | Nov 2, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 176345 | MT |
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 (MT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 38 |
|---|---|
| Services billed | 46 across 8 procedure codes |
| Paid by Medicare | $1,180 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,589 · 3,111 30-day fills |
|---|---|
| Patients | 228 |
| Total drug cost | $140,133 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Libby ClinicLibby, MT · 6 clinicians
Hospital affiliation
- Cabinet Peaks Medical CenterLibby, MT
Industry payments (Open Payments)
- 2025$133.51 · 5 payments from 4 companies
- 2024$29.29 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Csl Behring | $44.88 | 2 |
| Boston Scientific Corporation | $38.87 | 1 |
| Exact Sciences Corporation | $28.32 | 1 |
| Inspire Medical Systems, Inc. | $21.44 | 1 |
What the 2025 payments were for
- Food and Beverage$133.51 · 5 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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