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NPI 1801580931ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Niceville, FL

Nurse Practitioner, Psych/Mental Health in Niceville, Florida, licensed in FL, with an NPI issued in June 2023. Their prescriptions cost Medicare Part D more than their services did: $14,027 for 187 claims, against $3,354 paid for services in 2024. Alkermes, Inc. was the largest of 4 companies reporting payments in 2024, $69.24 in all, mostly food and beverage.

Overview

NPI1801580931
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedJun 2, 2023
Last updated in NPPESJun 2, 2023
Certified by providerJun 2, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Psych/Mental Health Primary363LP0808X11026619FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients18
Services billed70 across 3 procedure codes
Paid by Medicare$3,354

Part D prescriptions in 2024

Prescriptions (claims)187 · 254 30-day fills
Patients26
Total drug cost$14,027
Generic share97% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2024$69.24 · 4 payments from 4 companies

Top paying companies in 2024

What the 2024 payments were for

  • Food and Beverage$69.24 · 4 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Nurse Practitioner, Psych/Mental Health providers in Niceville

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