Amy Elizabeth Heltemes, NP-C, FNP-BC
NPI 1821541350ActiveIndividual· Nurse Practitioner, Family· Middletown, MD
Nurse Practitioner, Family (NP-C, FNP-BC) with Duke Health Integrated Practice, Inc, practicing in Middletown, Maryland. Their prescriptions cost Medicare Part D more than their services did: $19,055 for 272 claims, against $6,941 paid for services in 2024. Daiichi Sankyo Inc. was the largest of 3 companies reporting payments in 2025, $641.36 in all, mostly food and beverage. Lists Duke University Hospital as a hospital affiliation.
Overview
| NPI | 1821541350 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP-C, FNP-BC |
| Sole proprietor | No |
| NPI issued | Aug 2, 2016 |
| Last updated in NPPES | Aug 11, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | R180860 | MD |
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 (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 54 |
|---|---|
| Services billed | 127 across 4 procedure codes |
| Paid by Medicare | $6,941 |
Part D prescriptions in 2024
| Prescriptions (claims) | 272 · 548 30-day fills |
|---|---|
| Patients | 102 |
| Total drug cost | $19,055 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Duke Health Integrated Practice, IncDurham, NC · 3,185 clinicians
Hospital affiliation
- Duke University HospitalDurham, NC
Industry payments (Open Payments)
- 2025$641.36 · 5 payments from 3 companies
- 2024$1,415 · 4 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Daiichi Sankyo Inc. | $385.00 | 3 |
| Medtronic, Inc. | $153.77 | 1 |
| E.R. Squibb & Sons, L.L.C. | $102.59 | 1 |
What the 2025 payments were for
- Food and Beverage$641.36 · 5 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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