Julia Brakefield-Pino, APRN-CNP
NPI 1821768086ActiveIndividual· Nurse Practitioner, Family· Muskogee, OK
Nurse Practitioner, Family (APRN-CNP) with Vitality Health Solutions LLC, practicing in Muskogee, Oklahoma. 229 Medicare patients in 2024, $76,787 paid; nearly all of their 1,317 Part D prescriptions were generic (95%). Medtronic, Inc. was the largest of 5 companies reporting payments in 2025, $231.63 in all, mostly food and beverage. Lists Northeastern Health System and 1 other hospital as hospital affiliations.
Overview
| NPI | 1821768086 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN-CNP |
| Sole proprietor | Yes |
| NPI issued | Sep 17, 2021 |
| Last updated in NPPES | Aug 10, 2026 |
| Certified by provider | Aug 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 205501 | OK |
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 (OK) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 229 |
|---|---|
| Services billed | 2,195 across 45 procedure codes |
| Paid by Medicare | $76,787 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,317 · 1,924 30-day fills |
|---|---|
| Patients | 199 |
| Total drug cost | $46,321 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Vitality Health Solutions LLCMuskogee, OK · 2 clinicians
Hospital affiliations
- Northeastern Health SystemTahlequah, OK
- Saint Francis Hospital MuskogeeMuskogee, OK
Other facilities
- A Path of Care Home Health II, IncHome health agency · Muskogee, OK
Industry payments (Open Payments)
- 2025$231.63 · 9 payments from 5 companies
- 2024$710.06 · 22 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $111.10 | 4 |
| Boston Scientific Corporation | $55.00 | 2 |
| Vertex Pharmaceuticals Incorporated | $25.28 | 1 |
| Globus Medical, Inc. | $22.60 | 1 |
| Ani Pharmaceuticals, Inc. | $17.65 | 1 |
What the 2025 payments were for
- Food and Beverage$231.63 · 9 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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