Keston Trammell, MSN FNP-C
NPI 1427430974ActiveIndividual· Nurse Practitioner, Family· Enterprise, AL
Nurse Practitioner, Family (MSN FNP-C) with Houston County Healthcare Authority, practicing in Enterprise, Alabama. Their prescriptions cost Medicare Part D more than their services did: $227,329 for 1,119 claims, against $43,458 paid for services in 2024. Amgen Inc. was the largest of 13 companies reporting payments in 2025, $896.09 in all, mostly food and beverage. Lists Southeast Health Medical Center as a hospital affiliation.
Overview
| NPI | 1427430974 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSN FNP-C |
| Sole proprietor | No |
| NPI issued | Jun 22, 2015 |
| Last updated in NPPES | Mar 18, 2024 |
| Certified by provider | Mar 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 1-131458 | AL |
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 (AL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 344 |
|---|---|
| Services billed | 701 across 7 procedure codes |
| Paid by Medicare | $43,458 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,119 · 2,759 30-day fills |
|---|---|
| Patients | 277 |
| Total drug cost | $227,329 |
| Generic share | 80% of claims |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Houston County Healthcare AuthorityDothan, AL · 253 clinicians
Hospital affiliation
- Southeast Health Medical CenterDothan, AL
Industry payments (Open Payments)
- 2025$896.09 · 33 payments from 13 companies
- 2024$1,306 · 33 payments from 12 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Amgen Inc. | $140.77 | 3 |
| Merck Sharp & Dohme LLC | $137.01 | 8 |
| Medtronic, Inc. | $118.68 | 2 |
| Lilly USA, LLC | $114.87 | 1 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $73.42 | 4 |
What the 2025 payments were for
- Food and Beverage$859.24 · 31 payments
- Education$36.85 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 38 family nurse practitioners in Enterprise · All family nurse practitioners in Alabama