Chelsea Sue Koskovich, AGACNP-BC
Nurse Practitioner, Adult Health (AGACNP-BC) with Pulmonary Associates of Fredericksburg Inc, practicing in Fredericksburg, Virginia. Their prescriptions cost Medicare Part D more than their services did: $2,878,956 for 5,899 claims, against $13,116 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 27 companies reporting payments in 2025, $9,550 in all, mostly food and beverage. Lists Mary Washington Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1811433469 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AGACNP-BC |
| Sole proprietor | No |
| NPI issued | Jan 6, 2017 |
| Last updated in NPPES | Oct 18, 2023 |
| Certified by provider | Oct 18, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | 0024174389 | VA |
| Nurse Practitioner | 363L00000X | 0024174389 | VA |
| Nurse Practitioner, Acute Care | 363LA2100X | 0024174389 | VA |
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 (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 16 |
|---|---|
| Services billed | 466 across 11 procedure codes |
| Paid by Medicare | $13,116 |
Part D prescriptions in 2024
| Prescriptions (claims) | 5,899 · 8,561 30-day fills |
|---|---|
| Patients | 801 |
| Total drug cost | $2,878,956 |
| Generic share | 54% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Pulmonary Associates of Fredericksburg IncFredericksburg, VA · 9 clinicians
Hospital affiliations
- Mary Washington HospitalFredericksburg, VA
- Stafford Hospital, LLCStafford, VA
Other facilities
- Care With Love, LLCHome health agency · Fairfax, VA
Industry payments (Open Payments)
- 2025$9,550 · 198 payments from 27 companies
- 2024$5,881 · 194 payments from 25 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $3,757 | 52 |
| Pulmonx Corporation | $1,967 | 3 |
| Glaxosmithkline, LLC. | $721.67 | 30 |
| Ani Pharmaceuticals, Inc. | $382.56 | 12 |
| Actelion Pharmaceuticals US, Inc. | $281.94 | 10 |
What the 2025 payments were for
- Food and Beverage$4,855 · 189 payments
- Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$2,700 · 5 payments
- Consulting Fee$1,800 · 2 payments
- Education$194.98 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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