Jill Ann Tracy, NP-C
NPI 1669466132ActiveIndividual· Nurse Practitioner, Family· Paso Robles, CA
Nurse Practitioner, Family (NP-C) with Las Tablas Medical Group Inc, practicing in Paso Robles, California. Their prescriptions cost Medicare Part D more than their services did: $12,869 for 218 claims, against $2,703 paid for services in 2024. Revance Therapeutics, Inc. was the largest of 4 companies reporting payments in 2024, $441.21 in all, mostly food and beverage. Lists Adventist Health Twin Cities and 1 other hospital as hospital affiliations.
Overview
| NPI | 1669466132 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP-C |
| Sole proprietor | No |
| NPI issued | Sep 9, 2005 |
| Last updated in NPPES | Mar 4, 2026 |
| Certified by provider | Mar 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 18510 | CA |
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 (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 31 |
|---|---|
| Services billed | 54 across 13 procedure codes |
| Paid by Medicare | $2,703 |
Part D prescriptions in 2024
| Prescriptions (claims) | 218 · 521 30-day fills |
|---|---|
| Patients | 57 |
| Total drug cost | $12,869 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Las Tablas Medical Group IncPaso Robles, CA · 3 clinicians
Hospital affiliations
- Adventist Health Twin CitiesTempleton, CA
- French Hospital Medical CenterSan Luis Obispo, CA
Other facilities
- Aevum Home HealthHome health agency · San Luis Obispo, CA
Industry payments (Open Payments)
- 2024$441.21 · 7 payments from 4 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Revance Therapeutics, Inc. | $327.09 | 4 |
| Hologic Sales and Service, LLC | $74.44 | 1 |
| Sumitomo Pharma America, Inc. | $20.31 | 1 |
| Astellas Pharma US Inc | $19.37 | 1 |
What the 2024 payments were for
- Food and Beverage$441.21 · 7 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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