Debbie Banuelos Hernandez, FNP
NPI 1831714856ActiveIndividual· Nurse Practitioner, Family· Palestine, TX
Nurse Practitioner, Family (FNP) with Sycamore Medical Clinic, practicing in Palestine, Texas. Their prescriptions cost Medicare Part D more than their services did: $592,403 for 4,943 claims, against $5,300 paid for services in 2024. Boehringer Ingelheim Pharmaceuticals, Inc. was the largest of 10 companies reporting payments in 2025, $626.96 in all, mostly food and beverage. Lists Palestine Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1831714856 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Jun 15, 2020 |
| Last updated in NPPES | Jun 30, 2020 |
| Certified by provider | Jun 30, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | AP145210 | 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 | 160 across 25 procedure codes |
| Paid by Medicare | $5,300 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,943 · 12,141 30-day fills |
|---|---|
| Patients | 344 |
| Total drug cost | $592,403 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Sycamore Medical ClinicPalestine, TX · 5 clinicians
Hospital affiliation
- Palestine Regional Medical CenterPalestine, TX
Other facilities
- Elara CaringHome health agency · Teague, TX
- Enhabit Home HealthHome health agency · Palestine, TX
Industry payments (Open Payments)
- 2025$626.96 · 27 payments from 10 companies
- 2024$657.27 · 33 payments from 13 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $304.24 | 12 |
| Lilly USA, LLC | $102.51 | 4 |
| Pfizer Inc. | $41.51 | 2 |
| Corcept Therapeutics | $33.93 | 1 |
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | $29.73 | 2 |
What the 2025 payments were for
- Food and Beverage$581.96 · 26 payments
- Education$45.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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