Amanda Bertholomey
NPI 1871103093ActiveIndividual· Nurse Practitioner, Family· Ballwin, MO
Nurse Practitioner, Family in Ballwin, Missouri, licensed in MO, with an NPI issued in August 2020. Part D covered 586 prescriptions written in 2024, 76% of them generic.
Overview
| NPI | 1871103093 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 3, 2020 |
| Last updated in NPPES | Sep 8, 2020 |
| Certified by provider | Sep 8, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 2014018635 | MO |
| Nurse Practitioner, Family | 363LF0000X | 2020026219 | MO |
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 (AR); Practitioner - Nurse Practitioner (MO) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 586 · 1,003 30-day fills |
|---|---|
| Patients | 134 |
| Total drug cost | $119,220 |
| Generic share | 76% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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