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Amber Lynette Vance, FNP-BC

NPI 1558074328ActiveIndividual· Nurse Practitioner, Family· Gray, TN

Nurse Practitioner, Family (FNP-BC) with Tri-Cities Gastroenterology LLC, practicing in Gray, Tennessee. Their prescriptions cost Medicare Part D more than their services did: $373,676 for 1,521 claims, against $13,456 paid for services in 2024. Salix Pharmaceuticals, A Division of Bausch Health US, LLC was the largest of 15 companies reporting payments in 2025, $1,675 in all, mostly food and beverage. Lists Wellmont Bristol Regional Medical Center and 1 other hospital as hospital affiliations.

Overview

NPI1558074328
StatusActive
Entity typeIndividual
CredentialFNP-BC
Sole proprietorNo
NPI issuedDec 27, 2022
Last updated in NPPESFeb 7, 2023
Certified by providerFeb 7, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000X32870TN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (TN)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients178
Services billed192 across 6 procedure codes
Paid by Medicare$13,456

Part D prescriptions in 2024

Prescriptions (claims)1,521 · 2,473 30-day fills
Patients561
Total drug cost$373,676
Generic share78% of claims

Medicare sources and data years

Education and affiliations

Graduation year2022
Medicare specialtyNurse Practitioner

Medical group

Hospital affiliations

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$1,675 · 95 payments from 15 companies
  • 2024$1,591 · 97 payments from 13 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$1,675 · 95 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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