Megan Smith, FNP-BC
NPI 1598230492ActiveIndividual· Nurse Practitioner· Tullahoma, TN
Nurse Practitioner (FNP-BC) with Vanderbilt University Medical Center and 1 other group, practicing in Tullahoma, Tennessee. Their prescriptions cost Medicare Part D more than their services did: $136,851 for 759 claims, against $22,331 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 4 companies reporting payments in 2025, $598.22 in all, mostly food and beverage. Lists Vanderbilt Tullahoma-Harton Hospital as a hospital affiliation.
Overview
| NPI | 1598230492 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-BC |
| Sole proprietor | No |
| NPI issued | Oct 6, 2018 |
| Last updated in NPPES | Nov 14, 2024 |
| Certified by provider | Nov 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 24888 | TN |
| Nurse Practitioner, Family | 363LF0000X | 24888 | TN |
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 (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 17 |
|---|---|
| Services billed | 53 across 13 procedure codes |
| Paid by Medicare | $22,331 |
Part D prescriptions in 2024
| Prescriptions (claims) | 759 · 1,060 30-day fills |
|---|---|
| Patients | 180 |
| Total drug cost | $136,851 |
| Generic share | 77% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Vanderbilt University Medical CenterNashville, TN · 3,567 clinicians
- Vanderbilt Integrated Providers LLCShelbyville, TN · 85 clinicians
Hospital affiliation
- Vanderbilt Tullahoma-Harton HospitalTullahoma, TN
Other facilities
- Amedisys Home CareHome health agency · Winchester, TN
Industry payments (Open Payments)
- 2025$598.22 · 8 payments from 4 companies
- 2024$1,201 · 17 payments from 9 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $332.08 | 4 |
| Novo Nordisk Inc | $119.79 | 1 |
| Amgen Inc. | $78.12 | 1 |
| Aroa Biosurgery Incorporated | $68.23 | 2 |
What the 2025 payments were for
- Food and Beverage$598.22 · 8 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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