Kristin Cox Spence, APN, FNP
NPI 1578923371ActiveIndividual· Nurse Practitioner, Family· Olive Branch, MS
Nurse Practitioner, Family (APN, FNP) with Ultra Health LLC and 1 other group, practicing in Olive Branch, Mississippi. Their prescriptions cost Medicare Part D more than their services did: $219,536 for 5,412 claims, against $119,509 paid for services in 2024. Neurocrine Biosciences, Inc. was the largest of 3 companies reporting payments in 2025, $191.85 in all, mostly food and beverage.
Overview
| NPI | 1578923371 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APN, FNP |
| Sole proprietor | Yes |
| NPI issued | Mar 7, 2016 |
| Last updated in NPPES | Oct 6, 2026 |
| Certified by provider | Oct 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 21012 | TN |
| Nurse Practitioner, Family | 363LF0000X | 901471 | MS |
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 (MS); Practitioner - Nurse Practitioner (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 182 |
|---|---|
| Services billed | 2,166 across 17 procedure codes |
| Paid by Medicare | $119,509 |
Part D prescriptions in 2024
| Prescriptions (claims) | 5,412 · 5,427 30-day fills |
|---|---|
| Patients | 192 |
| Total drug cost | $219,536 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Ultra Health LLCRed Bay, AL · 148 clinicians
- Ultra Health Providers II LLCMilan, TN · 41 clinicians
Industry payments (Open Payments)
- 2025$191.85 · 3 payments from 3 companies
- 2024$114.34 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Neurocrine Biosciences, Inc. | $137.83 | 1 |
| Acadia Pharmaceuticals Inc | $28.75 | 1 |
| Boston Scientific Corporation | $25.27 | 1 |
What the 2025 payments were for
- Food and Beverage$191.85 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 48 family nurse practitioners in Olive Branch · All family nurse practitioners in Mississippi