Amy Puhl, RN
NPI 1861957532ActiveIndividual· Nurse Practitioner· Lewiston, ID
Nurse Practitioner (RN) with Clearwater Gastroenterology, practicing in Lewiston, Idaho. Their prescriptions cost Medicare Part D more than their services did: $285,705 for 592 claims, against $17,647 paid for services in 2024. Janssen Biotech, Inc. was the largest of 5 companies reporting payments in 2025, $350.78 in all, mostly food and beverage. Lists St Joseph Regional Medical Center and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1861957532 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RN |
| Sole proprietor | No |
| NPI issued | Feb 6, 2019 |
| Last updated in NPPES | Dec 16, 2025 |
| Certified by provider | Dec 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 67680 | ID |
| Registered Nurse | 163W00000X | RN60695967 | WA |
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 (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 214 |
|---|---|
| Services billed | 302 across 14 procedure codes |
| Paid by Medicare | $17,647 |
Part D prescriptions in 2024
| Prescriptions (claims) | 592 · 934 30-day fills |
|---|---|
| Patients | 146 |
| Total drug cost | $285,705 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Clearwater GastroenterologyClarkston, WA · 2 clinicians
Hospital affiliations
- St Joseph Regional Medical CenterLewiston, ID
- St Mary's HospitalCottonwood, ID
- Syringa General HospitalGrangeville, ID
- Tri-State Memorial HospitalClarkston, WA
Industry payments (Open Payments)
- 2025$350.78 · 16 payments from 5 companies
- 2024$532.51 · 19 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Janssen Biotech, Inc. | $259.54 | 11 |
| Regeneron Healthcare Solutions, Inc. | $29.51 | 1 |
| Ardelyx, Inc. | $27.56 | 2 |
| Ipsen Biopharmaceuticals, Inc | $18.86 | 1 |
| Takeda Pharmaceuticals U.S.A., Inc. | $15.31 | 1 |
What the 2025 payments were for
- Food and Beverage$265.79 · 15 payments
- Education$84.99 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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