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NPI 1396344644ActiveIndividual· Nurse Practitioner, Family· Tustin, CA
Nurse Practitioner, Family with Exer Medical Corporation, practicing in Tustin, California. 100 Medicare patients in 2024, $13,400 paid; nearly all of their 478 Part D prescriptions were generic (92%).
Overview
| NPI | 1396344644 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Oct 19, 2020 |
| Last updated in NPPES | Oct 19, 2020 |
| Certified by provider | Oct 19, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 95015679 | CA |
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 (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 100 |
|---|---|
| Services billed | 407 across 34 procedure codes |
| Paid by Medicare | $13,400 |
Part D prescriptions in 2024
| Prescriptions (claims) | 478 · 488 30-day fills |
|---|---|
| Patients | 270 |
| Total drug cost | $3,877 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Exer Medical CorporationHighland, CA · 340 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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