Ivy Lea Settlemires, DNP
NPI 1699184762ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Durham, NC
Nurse Practitioner, Psych/Mental Health (DNP) with Duke University Health System, Inc, practicing in Durham, North Carolina. Their prescriptions cost Medicare Part D more than their services did: $272,464 for 2,400 claims, against $18,277 paid for services in 2024. Neurocrine Biosciences, Inc. was the largest of 3 companies reporting payments in 2025, $321.11 in all, mostly food and beverage.
Overview
| NPI | 1699184762 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DNP |
| Sole proprietor | No |
| NPI issued | Aug 3, 2014 |
| Last updated in NPPES | Apr 7, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | ARNP9304509 | FL |
| Nurse Practitioner, Family | 363LF0000X | ARNP9304509 | FL |
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 (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 104 |
|---|---|
| Services billed | 293 across 7 procedure codes |
| Paid by Medicare | $18,277 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,400 · 5,016 30-day fills |
|---|---|
| Patients | 203 |
| Total drug cost | $272,464 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Duke University Health System, IncDurham, NC · 1,102 clinicians
Industry payments (Open Payments)
- 2025$321.11 · 4 payments from 3 companies
- 2024$369.87 · 6 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Neurocrine Biosciences, Inc. | $138.75 | 1 |
| Otsuka America Pharmaceutical, Inc. | $121.84 | 1 |
| Alkermes, Inc. | $60.52 | 2 |
What the 2025 payments were for
- Food and Beverage$321.11 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 127 psychiatric nurse practitioners in Durham · All psychiatric nurse practitioners in North Carolina