Raquel Ramirez
NPI 1396305843ActiveIndividual· Nurse Practitioner, Family· Shenandoah, TX
Nurse Practitioner, Family with Geriatric and Palliative Care Associates, PA., practicing in Shenandoah, Texas. Their prescriptions cost Medicare Part D more than their services did: $61,456 for 464 claims, against $28,640 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 3 companies reporting payments in 2025, $81.18 in all, mostly food and beverage.
Overview
| NPI | 1396305843 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 17, 2019 |
| Last updated in NPPES | Jun 18, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 141785 | 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 | 89 |
|---|---|
| Services billed | 448 across 11 procedure codes |
| Paid by Medicare | $28,640 |
Part D prescriptions in 2024
| Prescriptions (claims) | 464 · 465 30-day fills |
|---|---|
| Patients | 44 |
| Total drug cost | $61,456 |
| Generic share | 74% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Geriatric and Palliative Care Associates, PA.Shenandoah, TX · 7 clinicians
Industry payments (Open Payments)
- 2025$81.18 · 3 payments from 3 companies
- 2024$86.77 · 5 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $28.97 | 1 |
| Otsuka America Pharmaceutical, Inc. | $28.17 | 1 |
| Teva Pharmaceuticals USA, Inc. | $24.04 | 1 |
What the 2025 payments were for
- Food and Beverage$81.18 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 73 family nurse practitioners in Shenandoah · All family nurse practitioners in Texas