Peter Mugetha, A-GNP-C
NPI 1861110991ActiveIndividual· Nurse Practitioner· Elkhart, IN
Nurse Practitioner (A-GNP-C) with Heart City Health Center Inc, practicing in Elkhart, Indiana. Their prescriptions cost Medicare Part D more than their services did: $502,088 for 3,894 claims, against $1,543 paid for services in 2024. Insulet Corporation was the largest of 3 companies reporting payments in 2025, $154.56 in all, mostly food and beverage. Lists Elkhart General Hospital as a hospital affiliation.
Overview
| NPI | 1861110991 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | A-GNP-C |
| Sole proprietor | No |
| NPI issued | Aug 15, 2022 |
| Last updated in NPPES | Nov 3, 2023 |
| Certified by provider | Nov 3, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 71013009A | IN |
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 (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 49 |
|---|---|
| Services billed | 141 across 6 procedure codes |
| Paid by Medicare | $1,543 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,894 · 7,626 30-day fills |
|---|---|
| Patients | 271 |
| Total drug cost | $502,088 |
| Generic share | 78% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Heart City Health Center IncElkhart, IN · 15 clinicians
Hospital affiliation
- Elkhart General HospitalElkhart, IN
Industry payments (Open Payments)
- 2025$154.56 · 3 payments from 3 companies
- 2024$62.92 · 4 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Insulet Corporation | $111.83 | 1 |
| Abbvie Inc. | $25.76 | 1 |
| Vanda Pharmaceuticals Inc. | $16.97 | 1 |
What the 2025 payments were for
- Food and Beverage$154.56 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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