Melinda Lee Silvay O'Keeffe, APRN-CNP
NPI 1528549482ActiveIndividual· Nurse Practitioner, Family· Floresville, TX
Nurse Practitioner, Family (APRN-CNP) in Floresville, Texas, licensed in TX, with an NPI issued in August 2018. Their prescriptions cost Medicare Part D more than their services did: $12,073 for 206 claims, against $4,878 paid for services in 2024. Lilly USA, LLC reported $25.26 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1528549482 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN-CNP |
| Sole proprietor | Yes |
| NPI issued | Aug 28, 2018 |
| Last updated in NPPES | Aug 21, 2024 |
| Certified by provider | Aug 21, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | AP145815 | TX |
| Registered Nurse | 163W00000X | 933345 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 24 |
|---|---|
| Services billed | 103 across 16 procedure codes |
| Paid by Medicare | $4,878 |
Part D prescriptions in 2024
| Prescriptions (claims) | 206 · 434 30-day fills |
|---|---|
| Patients | 24 |
| Total drug cost | $12,073 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Industry payments (Open Payments)
- 2025$25.26 · 1 payment from 1 company
- 2024$128.96 · 3 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $25.26 | 1 |
What the 2025 payments were for
- Food and Beverage$25.26 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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