Twyla D. Carley, APRN
NPI 1801438486ActiveIndividual· Nurse Practitioner, Family· Middleburg, FL
Nurse Practitioner, Family (APRN) with Conviva Medical Center Management, LLC, practicing in Middleburg, Florida. Their prescriptions cost Medicare Part D more than their services did: $199,995 for 2,295 claims, against $4,984 paid for services in 2024. Amgen Inc. reported $123.49 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1801438486 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | No |
| NPI issued | Oct 15, 2019 |
| Last updated in NPPES | Feb 17, 2026 |
| Certified by provider | Feb 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 11000555 | FL |
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 - Nurse Practitioner (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 44 |
|---|---|
| Services billed | 94 across 22 procedure codes |
| Paid by Medicare | $4,984 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,295 · 5,151 30-day fills |
|---|---|
| Patients | 866 |
| Total drug cost | $199,995 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Conviva Medical Center Management, LLCMargate, FL · 512 clinicians
Industry payments (Open Payments)
- 2025$123.49 · 1 payment from 1 company
- 2024$135.78 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Amgen Inc. | $123.49 | 1 |
What the 2025 payments were for
- Food and Beverage$123.49 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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