Micaela Rose Nannery, MD
NPI 1790314656ActiveIndividual· Radiology, Vascular & Interventional Radiology· Charlotte, NC
Radiology, Vascular & Interventional Radiology (MD) in Charlotte, North Carolina, licensed in NC and MA, with an NPI issued in April 2020. Enrolled in Medicare as practitioner - interventional radiology and practitioner - interventional radiology. W. L. Gore & Associates, Inc. was the largest of 3 companies reporting payments in 2025, $390.06 in all, mostly food and beverage.
Overview
| NPI | 1790314656 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 3, 2020 |
| Last updated in NPPES | Aug 24, 2026 |
| Certified by provider | Aug 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Vascular & Interventional Radiology Primary | 2085R0204X | 2024-01189 | NC |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
| Internal Medicine | 207R00000X | 284024 | MA |
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 - Interventional Radiology (NC); Practitioner - Interventional Radiology (SC) |
|---|
Industry payments (Open Payments)
- 2025$390.06 · 3 payments from 3 companies
- 2024$473.24 · 3 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| W. L. Gore & Associates, Inc. | $146.97 | 1 |
| Shockwave Medical, Inc | $125.15 | 1 |
| Angiodynamics, Inc. | $117.94 | 1 |
What the 2025 payments were for
- Food and Beverage$390.06 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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