Tamera Dawn Graziano, ARNP
NPI 1841578036ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Ocala, FL
Nurse Practitioner, Psych/Mental Health (ARNP) with Dr Luisa Vega Dnp LLC and 2 other groups, practicing in Ocala, Florida. Their prescriptions cost Medicare Part D more than their services did: $39,985 for 49 claims, against $2,248 paid for services in 2024. Amgen Inc. was the largest of 2 companies reporting payments in 2025, $170.44 in all, mostly food and beverage.
Overview
| NPI | 1841578036 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ARNP |
| Sole proprietor | No |
| NPI issued | Jul 22, 2011 |
| Last updated in NPPES | Jan 15, 2026 |
| Certified by provider | Jan 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | APRN11017606 | FL |
| Nurse Practitioner | 363L00000X | ARNP3415502 | FL |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | R 217553-5 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (FL); Practitioner - Nurse Practitioner (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 13 |
|---|---|
| Services billed | 30 across 10 procedure codes |
| Paid by Medicare | $2,248 |
Part D prescriptions in 2024
| Prescriptions (claims) | 49 · 49 30-day fills |
|---|---|
| Patients | 16 |
| Total drug cost | $39,985 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical groups
- Dr Luisa Vega Dnp LLCBrandon, FL · 88 clinicians
- Sma Healthcare IncDaytona Beach, FL · 40 clinicians
- Andrews Healthcare ConsultingTrenton, FL · 17 clinicians
Industry payments (Open Payments)
- 2025$170.44 · 5 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Amgen Inc. | $89.15 | 1 |
| Otsuka America Pharmaceutical, Inc. | $81.29 | 4 |
What the 2025 payments were for
- Food and Beverage$170.44 · 5 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 65 psychiatric nurse practitioners in Ocala · All psychiatric nurse practitioners in Florida