Tammy Kay Littlefield, FNP-C
NPI 1811697873ActiveIndividual· Nurse Practitioner, Family· Seguin, TX
Nurse Practitioner, Family (FNP-C) in Seguin, Texas, licensed in TX, with an NPI issued in March 2023. In 2024 Medicare paid $3,122,944 for 90 patients, and Part D covered 161 of their prescriptions, 87% of them generic. Smith+nephew, Inc. reported $121.92 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1811697873 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-C |
| Sole proprietor | Yes |
| NPI issued | Mar 8, 2023 |
| Last updated in NPPES | Jun 11, 2026 |
| Certified by provider | Jun 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 1112407 | TX |
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 (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 90 |
|---|---|
| Services billed | 4,154 across 21 procedure codes |
| Paid by Medicare | $3,122,944 |
Part D prescriptions in 2024
| Prescriptions (claims) | 161 · 168 30-day fills |
|---|---|
| Patients | 40 |
| Total drug cost | $8,222 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Other facilities
- Advanced Home Health ServicesHome health agency · Seguin, TX
Industry payments (Open Payments)
- 2025$121.92 · 6 payments from 1 company
- 2024$26.27 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Smith+nephew, Inc. | $121.92 | 6 |
What the 2025 payments were for
- Food and Beverage$121.92 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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