Kayla Emily Provenzano, FNP
NPI 1609599307ActiveIndividual· Nurse Practitioner, Family· Riverhead, NY
Nurse Practitioner, Family (FNP) with North Shore-Lij Medical PC, practicing in Riverhead, New York. Their prescriptions cost Medicare Part D more than their services did: $25,695 for 120 claims, against $3,863 paid for services in 2024. Novo Nordisk Inc reported $30.51 in payments in 2025, mostly food and beverage. Lists Suny/Stony Brook University Hospital as a hospital affiliation.
Overview
| NPI | 1609599307 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | Yes |
| NPI issued | Sep 19, 2022 |
| Last updated in NPPES | Sep 19, 2022 |
| Certified by provider | Sep 19, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 350411 | NY |
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 (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 21 |
|---|---|
| Services billed | 25 across 2 procedure codes |
| Paid by Medicare | $3,863 |
Part D prescriptions in 2024
| Prescriptions (claims) | 120 · 271 30-day fills |
|---|---|
| Patients | 46 |
| Total drug cost | $25,695 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- North Shore-Lij Medical PCStaten Island, NY · 6,440 clinicians
Hospital affiliation
- Suny/Stony Brook University HospitalStony Brook, NY
Industry payments (Open Payments)
- 2025$30.51 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $30.51 | 1 |
What the 2025 payments were for
- Food and Beverage$30.51 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 24 family nurse practitioners in Riverhead · All family nurse practitioners in New York