Michelle Ruhnke, FNP
NPI 1790498616ActiveIndividual· Nurse Practitioner, Family· San Antonio, TX
Nurse Practitioner, Family (FNP) with Medical Office Force, practicing in San Antonio, Texas. Their prescriptions cost Medicare Part D more than their services did: $25,678 for 350 claims, against $3,921 paid for services in 2024. Lilly USA, LLC was the largest of 4 companies reporting payments in 2025, $104.76 in all, mostly food and beverage.
Overview
| NPI | 1790498616 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | Yes |
| NPI issued | Jan 5, 2023 |
| Last updated in NPPES | Oct 13, 2025 |
| Certified by provider | Oct 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 1105865 | TX |
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 (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 32 |
|---|---|
| Services billed | 73 across 11 procedure codes |
| Paid by Medicare | $3,921 |
Part D prescriptions in 2024
| Prescriptions (claims) | 350 · 553 30-day fills |
|---|---|
| Patients | 49 |
| Total drug cost | $25,678 |
| Generic share | 82% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Medical Office ForceHonolulu, HI · 59 clinicians
Industry payments (Open Payments)
- 2025$104.76 · 5 payments from 4 companies
- 2024$54.70 · 3 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $45.68 | 2 |
| Organon LLC | $21.09 | 1 |
| Exact Sciences Corporation | $21.01 | 1 |
| Coopersurgical, Inc. | $16.98 | 1 |
What the 2025 payments were for
- Food and Beverage$104.76 · 5 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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