Marisa Licata, NP
NPI 1790392603ActiveIndividual· Nurse Practitioner, Family· Farmington Hills, MI
Nurse Practitioner, Family (NP) in Farmington Hills, Michigan, licensed in MI, with an NPI issued in September 2020. Their prescriptions cost Medicare Part D more than their services did: $48,862 for 476 claims, against $15,439 paid for services in 2024. Boston Scientific Corporation reported $19.59 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1790392603 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | Yes |
| NPI issued | Sep 24, 2020 |
| Last updated in NPPES | Apr 7, 2025 |
| Certified by provider | Apr 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 4704303831 | MI |
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 (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 77 |
|---|---|
| Services billed | 324 across 17 procedure codes |
| Paid by Medicare | $15,439 |
Part D prescriptions in 2024
| Prescriptions (claims) | 476 · 839 30-day fills |
|---|---|
| Patients | 159 |
| Total drug cost | $48,862 |
| Generic share | 90% of claims |
Industry payments (Open Payments)
- 2025$19.59 · 1 payment from 1 company
- 2024$307.97 · 4 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $19.59 | 1 |
What the 2025 payments were for
- Food and Beverage$19.59 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 52 family nurse practitioners in Farmington Hills · All family nurse practitioners in Michigan