Antonio Pedulla Jr., CRNP
NPI 1518622455ActiveIndividual· Nurse Practitioner, Psych/Mental Health· North East, MD
Nurse Practitioner, Psych/Mental Health (CRNP) in North East, Maryland, licensed in PA, with an NPI issued in November 2021. Part D covered 214 prescriptions written in 2024, 77% of them generic.
Overview
| NPI | 1518622455 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNP |
| Sole proprietor | Yes |
| NPI issued | Nov 4, 2021 |
| Last updated in NPPES | Feb 13, 2025 |
| Certified by provider | Feb 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | SP027026 | PA |
| Nurse Practitioner, Family | 363LF0000X | SP024827 | PA |
| Registered Nurse | 163W00000X | RN674446 | PA |
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 (CO); Practitioner - Nurse Practitioner (MD); Practitioner - Nurse Practitioner (PA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 214 · 279 30-day fills |
|---|---|
| Patients | 36 |
| Total drug cost | $43,515 |
| Generic share | 77% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
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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