Estherline Exume-Noel, ARNP
NPI 1437518933ActiveIndividual· Nurse Practitioner, Family· Apopka, FL
Nurse Practitioner, Family (ARNP) with Cross Functional Medical Care PA, practicing in Apopka, Florida. Their prescriptions cost Medicare Part D more than their services did: $25,034 for 371 claims, against $6,292 paid for services in 2024. Otsuka America Pharmaceutical, Inc. was the largest of 13 companies reporting payments in 2025, $657.82 in all, mostly food and beverage.
Overview
| NPI | 1437518933 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ARNP |
| Sole proprietor | Yes |
| NPI issued | Feb 12, 2016 |
| Last updated in NPPES | Sep 10, 2026 |
| Certified by provider | Sep 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | ARNP9290156 | FL |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | APRN9290156 | FL |
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 (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 34 |
|---|---|
| Services billed | 99 across 12 procedure codes |
| Paid by Medicare | $6,292 |
Part D prescriptions in 2024
| Prescriptions (claims) | 371 · 667 30-day fills |
|---|---|
| Patients | 56 |
| Total drug cost | $25,034 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Cross Functional Medical Care PANew Port Richey, FL · 2 clinicians
Industry payments (Open Payments)
- 2025$657.82 · 26 payments from 13 companies
- 2024$1,096 · 53 payments from 15 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Otsuka America Pharmaceutical, Inc. | $213.22 | 7 |
| Vanda Pharmaceuticals Inc. | $113.67 | 4 |
| Abbvie Inc. | $66.37 | 3 |
| Lundbeck LLC | $49.36 | 2 |
| Janssen Pharmaceuticals, Inc | $44.02 | 2 |
What the 2025 payments were for
- Food and Beverage$657.82 · 26 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 99 family nurse practitioners in Apopka · All family nurse practitioners in Florida