Vivian Holder Seal, FNP
NPI 1497825657ActiveIndividual· Nurse Practitioner, Family· Mount Airy, NC
Nurse Practitioner, Family (FNP) in Mount Airy, North Carolina, trained at University of North Carolina at Chapel Hill School of Medicine (class of 1985). Their prescriptions cost Medicare Part D more than their services did: $964,074 for 7,525 claims, against $36,112 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 7 companies reporting payments in 2025, $290.07 in all, mostly food and beverage.
Overview
| NPI | 1497825657 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Nov 8, 2006 |
| Last updated in NPPES | Oct 14, 2026 |
| Certified by provider | Oct 14, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 200456 | NC |
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 (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 420 |
|---|---|
| Services billed | 593 across 18 procedure codes |
| Paid by Medicare | $36,112 |
Part D prescriptions in 2024
| Prescriptions (claims) | 7,525 · 14,964 30-day fills |
|---|---|
| Patients | 637 |
| Total drug cost | $964,074 |
| Generic share | 81% of claims |
Education and affiliations
| Medical school | University of North Carolina at Chapel Hill School of Medicine |
|---|---|
| Graduation year | 1985 |
| Medicare specialty | Nurse Practitioner |
Medical group
- Kriska Health, PLLCElkin, NC · 2 clinicians
Industry payments (Open Payments)
- 2025$290.07 · 15 payments from 7 companies
- 2024$613.56 · 31 payments from 16 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $53.05 | 3 |
| Axsome Therapeutics, Inc. | $49.97 | 2 |
| Lilly USA, LLC | $47.97 | 2 |
| Novo Nordisk Inc | $46.92 | 2 |
| Avadel Cns Pharmaceuticals, LLC | $32.86 | 2 |
What the 2025 payments were for
- Food and Beverage$290.07 · 15 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 26 family nurse practitioners in Mount Airy · All family nurse practitioners in North Carolina