Dominique Ann Ertolacci, NP
NPI 1386291656ActiveIndividual· Nurse Practitioner· Springdale, AR
Nurse Practitioner (NP) in Springdale, Arkansas, licensed in AR, with an NPI issued in August 2019. Part D covered 139 prescriptions written in 2024, 97% of them generic. Boston Scientific Corporation reported $16.20 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1386291656 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Aug 21, 2019 |
| Last updated in NPPES | Sep 17, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 121999 | AR |
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 (AR) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 139 · 399 30-day fills |
|---|---|
| Patients | 15 |
| Total drug cost | $1,944 |
| Generic share | 97% of claims |
Industry payments (Open Payments)
- 2025$16.20 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $16.20 | 1 |
What the 2025 payments were for
- Food and Beverage$16.20 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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