Mechell Spadie Smith, NP-C
NPI 1538272679ActiveIndividual· Nurse Practitioner, Family· Elizabeth City, NC
Nurse Practitioner, Family (NP-C) with Albemarle Physician Services - Sentara Inc, practicing in Elizabeth City, North Carolina. Their prescriptions cost Medicare Part D more than their services did: $209,845 for 2,528 claims, against $20,892 paid for services in 2024. Lilly USA, LLC was the largest of 8 companies reporting payments in 2025, $197.94 in all, mostly food and beverage. Lists Sentara Albemarle Medical Center as a hospital affiliation.
Overview
| NPI | 1538272679 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP-C |
| Sole proprietor | No |
| NPI issued | Aug 15, 2006 |
| Last updated in NPPES | Jun 10, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 201808 | 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); Practitioner - Nurse Practitioner (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 205 |
|---|---|
| Services billed | 478 across 21 procedure codes |
| Paid by Medicare | $20,892 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,528 · 5,522 30-day fills |
|---|---|
| Patients | 353 |
| Total drug cost | $209,845 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Albemarle Physician Services - Sentara IncElizabeth City, NC · 83 clinicians
Hospital affiliation
- Sentara Albemarle Medical CenterElizabeth City, NC
Industry payments (Open Payments)
- 2025$197.94 · 9 payments from 8 companies
- 2024$1,979 · 115 payments from 23 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $45.00 | 1 |
| Abbvie Inc. | $32.58 | 2 |
| Medtronic, Inc. | $25.73 | 1 |
| Merck Sharp & Dohme LLC | $20.29 | 1 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $19.92 | 1 |
What the 2025 payments were for
- Food and Beverage$152.94 · 8 payments
- Education$45.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other family nurse practitioners in Elizabeth City
- 1144764960
- 1316596406
- 1366793176
- 1396231569
- 1396845483
- 1437740842
- 1568982601
- 1629537386
- 1710336128
- 1780344143
- 1821609603
- 1902141989
All 45 family nurse practitioners in Elizabeth City · All family nurse practitioners in North Carolina