Nicolette Linea Stevanovski, PA-C
NPI 1639931629ActiveIndividual· Physician Assistant· Madras, OR
Physician Assistant (PA-C) with Mosaic Community Health, practicing in Madras, Oregon. Their prescriptions cost Medicare Part D more than their services did: $40,815 for 317 claims, against $147.25 paid for services in 2024. Coopersurgical, Inc. reported $37.49 in payments in 2024, mostly food and beverage. Lists St Charles Madras and 1 other hospital as hospital affiliations.
Overview
| NPI | 1639931629 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jan 25, 2024 |
| Last updated in NPPES | Jul 11, 2024 |
| Certified by provider | Jul 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA220456 | OR |
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 - Physician Assistant (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 23 across 5 procedure codes |
| Paid by Medicare | $147.25 |
Part D prescriptions in 2024
| Prescriptions (claims) | 317 · 595 30-day fills |
|---|---|
| Patients | 89 |
| Total drug cost | $40,815 |
| Generic share | 79% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Mosaic Community HealthBend, OR · 77 clinicians
Hospital affiliations
- St Charles MadrasMadras, OR
- St Charles Medical Center - BendBend, OR
Other facilities
- St. Charles Home Health ServicesHome health agency · Bend, OR
Industry payments (Open Payments)
- 2024$37.49 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Coopersurgical, Inc. | $37.49 | 1 |
What the 2024 payments were for
- Food and Beverage$37.49 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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