Kara Paxton, NP
NPI 1851178834ActiveIndividual· Nurse Practitioner, Acute Care· Fredericksburg, VA
Nurse Practitioner, Acute Care (NP) in Fredericksburg, Virginia, trained at Virginia Commonwealth University, School of Medicine (class of 2023). Their prescriptions cost Medicare Part D more than their services did: $303,575 for 1,265 claims, against $21,847 paid for services in 2024. Zoll Services LLC (A/K/A Zoll Lifecor Corp) was the largest of 19 companies reporting payments in 2025, $1,025 in all, mostly food and beverage.
Overview
| NPI | 1851178834 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | Yes |
| NPI issued | Sep 12, 2023 |
| Last updated in NPPES | Sep 12, 2023 |
| Certified by provider | Sep 12, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | 0024187748 | VA |
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 (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 190 |
|---|---|
| Services billed | 312 across 11 procedure codes |
| Paid by Medicare | $21,847 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,265 · 3,387 30-day fills |
|---|---|
| Patients | 366 |
| Total drug cost | $303,575 |
| Generic share | 81% of claims |
Education and affiliations
| Medical school | Virginia Commonwealth University, School of Medicine |
|---|---|
| Graduation year | 2023 |
| Medicare specialty | Nurse Practitioner |
Medical groups
- Mary Washington Healthcare Providers LLCMc Lean, VA · 262 clinicians
- Mary Washington Hospital IncFredericksburg, VA · 53 clinicians
Hospital affiliations
- Mary Washington HospitalFredericksburg, VA
- Stafford Hospital, LLCStafford, VA
Industry payments (Open Payments)
- 2025$1,025 · 50 payments from 19 companies
- 2024$1,505 · 60 payments from 22 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Zoll Services LLC (A/K/A Zoll Lifecor Corp) | $371.66 | 19 |
| Novo Nordisk Inc | $64.24 | 3 |
| Amgen Inc. | $53.17 | 3 |
| Novartis Pharmaceuticals Corporation | $51.98 | 2 |
| Boston Scientific Corporation | $49.96 | 3 |
What the 2025 payments were for
- Food and Beverage$1,025 · 50 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 34 acute care nurse practitioners in Fredericksburg · All acute care nurse practitioners in Virginia