Gina M. Nickels-Nelson, FNP
NPI 1376526921ActiveIndividual· Nurse Practitioner, Family· Tyler, TX
Nurse Practitioner, Family (FNP) with Etmc Physician Group, Inc. and 1 other group, practicing in Tyler, Texas. Their prescriptions cost Medicare Part D more than their services did: $69,507 for 590 claims, against $4,275 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 14 companies reporting payments in 2025, $1,496 in all, mostly food and beverage.
Overview
| NPI | 1376526921 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Nov 28, 2005 |
| Last updated in NPPES | Feb 24, 2026 |
| Certified by provider | Feb 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 1007313 | 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 | 47 |
|---|---|
| Services billed | 65 across 11 procedure codes |
| Paid by Medicare | $4,275 |
Part D prescriptions in 2024
| Prescriptions (claims) | 590 · 904 30-day fills |
|---|---|
| Patients | 96 |
| Total drug cost | $69,507 |
| Generic share | 79% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Etmc Physician Group, Inc.Flint, TX · 381 clinicians
- University of Texas Health Science Center at Tyler-Facilty-PhysicianTyler, TX · 122 clinicians
Industry payments (Open Payments)
- 2025$1,496 · 65 payments from 14 companies
- 2024$1,448 · 60 payments from 14 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $472.36 | 19 |
| Glaxosmithkline, LLC. | $256.57 | 19 |
| Regeneron Healthcare Solutions, Inc. | $250.11 | 8 |
| Takeda Pharmaceuticals U.S.A., Inc. | $149.32 | 5 |
| Genzyme Corporation | $95.85 | 3 |
What the 2025 payments were for
- Food and Beverage$1,397 · 64 payments
- Education$99.22 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 233 family nurse practitioners in Tyler · All family nurse practitioners in Texas