Kirsti Michelle Semich, PA-C
NPI 1881150464ActiveIndividual· Physician Assistant· Fredericksburg, VA
Physician Assistant (PA-C) in Fredericksburg, Virginia, trained at Rush Medical College of Rush University (class of 2019). Their prescriptions cost Medicare Part D more than their services did: $242,489 for 1,751 claims, against $17,137 paid for services in 2024. Abbvie Inc. was the largest of 16 companies reporting payments in 2025, $708.42 in all, mostly food and beverage.
Overview
| NPI | 1881150464 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Feb 19, 2019 |
| Last updated in NPPES | Apr 12, 2021 |
| Certified by provider | Apr 12, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 0110-006551 | 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 - Physician Assistant (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 81 |
|---|---|
| Services billed | 365 across 21 procedure codes |
| Paid by Medicare | $17,137 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,751 · 3,755 30-day fills |
|---|---|
| Patients | 203 |
| Total drug cost | $242,489 |
| Generic share | 84% of claims |
Education and affiliations
| Medical school | Rush Medical College of Rush University |
|---|---|
| Graduation year | 2019 |
| Medicare specialty | Physician Assistant |
Medical group
- Fredericksburg Christian Health CenterFredericksburg, VA · 7 clinicians
Hospital affiliation
- Mary Washington HospitalFredericksburg, VA
Industry payments (Open Payments)
- 2025$708.42 · 31 payments from 16 companies
- 2024$543.95 · 28 payments from 11 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $94.61 | 4 |
| Neurocrine Biosciences, Inc. | $86.23 | 3 |
| Novo Nordisk Inc | $84.14 | 3 |
| Pfizer Inc. | $61.93 | 3 |
| Vanda Pharmaceuticals Inc. | $59.10 | 2 |
What the 2025 payments were for
- Food and Beverage$708.42 · 31 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 115 physician assistants in Fredericksburg · All physician assistants in Virginia