Sarah Elizabeth Ernst, MSN, FNP-BC
NPI 1588233167ActiveIndividual· Nurse Practitioner, Family· Kirksville, MO
Nurse Practitioner, Family (MSN, FNP-BC) with Hannibal Regional Healthcare System Inc, practicing in Kirksville, Missouri. Their prescriptions cost Medicare Part D more than their services did: $99,861 for 1,355 claims, against $26,234 paid for services in 2024. Vertex Pharmaceuticals Incorporated was the largest of 10 companies reporting payments in 2025, $254.78 in all, mostly food and beverage. Lists Hannibal Regional Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1588233167 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSN, FNP-BC |
| Sole proprietor | No |
| NPI issued | Jun 18, 2021 |
| Last updated in NPPES | Mar 16, 2023 |
| Certified by provider | Mar 15, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 2019044586 | MO |
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 (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 184 |
|---|---|
| Services billed | 1,612 across 65 procedure codes |
| Paid by Medicare | $26,234 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,355 · 2,229 30-day fills |
|---|---|
| Patients | 200 |
| Total drug cost | $99,861 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Hannibal Regional Healthcare System IncHannibal, MO · 272 clinicians
Hospital affiliations
- Hannibal Regional HospitalHannibal, MO
- Northeast Regional Medical CenterKirksville, MO
Industry payments (Open Payments)
- 2025$254.78 · 14 payments from 10 companies
- 2024$441.17 · 31 payments from 9 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Vertex Pharmaceuticals Incorporated | $51.51 | 2 |
| Verona Pharma, Inc. | $39.65 | 2 |
| Viatris Specialty LLC | $37.24 | 2 |
| Novo Nordisk Inc | $29.15 | 2 |
| Harmony Biosciences LLC | $19.57 | 1 |
What the 2025 payments were for
- Food and Beverage$254.78 · 14 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 28 family nurse practitioners in Kirksville · All family nurse practitioners in Missouri