James Ryan Case, ARNP
NPI 1457816035ActiveIndividual· Nurse Practitioner, Family· Yakima, WA
Nurse Practitioner, Family (ARNP) with Total Medical and Management PLLC, practicing in Yakima, Washington. Their prescriptions cost Medicare Part D more than their services did: $49,264 for 703 claims, against $10,313 paid for services in 2024. Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) was the largest of 8 companies reporting payments in 2025, $225.47 in all, mostly food and beverage. Lists Prosser Memorial Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1457816035 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ARNP |
| Sole proprietor | No |
| NPI issued | Feb 7, 2019 |
| Last updated in NPPES | Apr 10, 2025 |
| Certified by provider | Apr 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | AP60942015 | WA |
| Family Medicine, Addiction Medicine | 207QA0401X | RN60262699 | WA |
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 (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 66 |
|---|---|
| Services billed | 168 across 25 procedure codes |
| Paid by Medicare | $10,313 |
Part D prescriptions in 2024
| Prescriptions (claims) | 703 · 1,216 30-day fills |
|---|---|
| Patients | 94 |
| Total drug cost | $49,264 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Total Medical and Management PLLCYakima, WA · 3 clinicians
Hospital affiliations
- Prosser Memorial HospitalProsser, WA
- Yakima Valley MemorialYakima, WA
Industry payments (Open Payments)
- 2025$225.47 · 10 payments from 8 companies
- 2024$188.79 · 9 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $68.86 | 3 |
| Revance Therapeutics, Inc. | $35.67 | 1 |
| Daiichi Sankyo Inc. | $29.91 | 1 |
| Bayer Healthcare Pharmaceuticals Inc. | $23.14 | 1 |
| Phathom Pharmaceuticals, Inc. | $20.63 | 1 |
What the 2025 payments were for
- Food and Beverage$225.47 · 10 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 96 family nurse practitioners in Yakima · All family nurse practitioners in Washington