Adrienne Letcher-Smith, APRN, FNP-C
NPI 1598472250ActiveIndividual· Nurse Practitioner, Family· Carlisle, KY
Nurse Practitioner, Family (APRN, FNP-C) in Carlisle, Kentucky, licensed in KY, with an NPI issued in November 2022. Their prescriptions cost Medicare Part D more than their services did: $67,371 for 790 claims, against $5,958 paid for services in 2024. Exact Sciences Corporation reported $14.65 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1598472250 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN, FNP-C |
| Sole proprietor | No |
| NPI issued | Nov 2, 2022 |
| Last updated in NPPES | Nov 2, 2022 |
| Certified by provider | Nov 2, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 3018269 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (KY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 64 |
|---|---|
| Services billed | 189 across 18 procedure codes |
| Paid by Medicare | $5,958 |
Part D prescriptions in 2024
| Prescriptions (claims) | 790 · 1,370 30-day fills |
|---|---|
| Patients | 135 |
| Total drug cost | $67,371 |
| Generic share | 88% of claims |
Industry payments (Open Payments)
- 2025$14.65 · 1 payment from 1 company
- 2024$174.67 · 3 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Exact Sciences Corporation | $14.65 | 1 |
What the 2025 payments were for
- Food and Beverage$14.65 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner, Family providers in Carlisle
- 1437016235
- 1134521388
- 1699154674
- 1093070914
- 1003524919
- 1467420018
- 1336812569
- 1801612395
- 1104123751
- 1740711860