Rachel Elizabeth Paternoster
NPI 1396358404ActiveIndividual· Nurse Practitioner· Middletown, CT
Nurse Practitioner with Hdc Care Solutions LLC, practicing in Middletown, Connecticut. Their prescriptions cost Medicare Part D more than their services did: $476,677 for 2,197 claims, against $65,160 paid for services in 2024. Lists Day Kimball Hospital as a hospital affiliation.
Overview
| NPI | 1396358404 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 28, 2020 |
| Last updated in NPPES | Jul 21, 2026 |
| Certified by provider | Jul 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 9152 | CT |
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 (CT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 634 |
|---|---|
| Services billed | 1,236 across 9 procedure codes |
| Paid by Medicare | $65,160 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,197 · 5,525 30-day fills |
|---|---|
| Patients | 689 |
| Total drug cost | $476,677 |
| Generic share | 81% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Hdc Care Solutions LLCMiddletown, CT · 197 clinicians
Hospital affiliation
- Day Kimball HospitalPutnam, CT
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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All 26 nurse practitioners in Middletown · All nurse practitioners in Connecticut