Melissa L. Sims, APRN
NPI 1881964179ActiveIndividual· Nurse Practitioner, Family· Harrodsburg, KY
Nurse Practitioner, Family (APRN) with Ephraim McDowell Regional Medical Center Incorporated and 1 other group, practicing in Harrodsburg, Kentucky. Their prescriptions cost Medicare Part D more than their services did: $880,443 for 12,209 claims, against $1,846 paid for services in 2024. Abbvie Inc. was the largest of 5 companies reporting payments in 2025, $383.13 in all, mostly food and beverage. Lists Baptist Health Lexington and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1881964179 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | No |
| NPI issued | Jan 4, 2012 |
| Last updated in NPPES | Mar 13, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 3007274 | KY |
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 (KY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 120 |
|---|---|
| Services billed | 239 across 6 procedure codes |
| Paid by Medicare | $1,846 |
Part D prescriptions in 2024
| Prescriptions (claims) | 12,209 · 28,715 30-day fills |
|---|---|
| Patients | 755 |
| Total drug cost | $880,443 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Ephraim McDowell Regional Medical Center IncorporatedDanville, KY · 40 clinicians
- The James B Haggin Memorial Hospital IncHarrodsburg, KY · 28 clinicians
Hospital affiliations
- Baptist Health LexingtonLexington, KY
- Ephraim McDowell Regional Medical CenterDanville, KY
- The James B. Haggin Memorial HospitalHarrodsburg, KY
Other facilities
- CaretendersHome health agency · Lexington, KY
- Centerwell Home HealthHome health agency · Danville, KY
- McDowell Home Health AgencyHome health agency · Danville, KY
- Heritage Hospice, IncHospice · Danville, KY
Industry payments (Open Payments)
- 2025$383.13 · 25 payments from 5 companies
- 2024$159.93 · 10 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $217.57 | 16 |
| Novo Nordisk Inc | $59.24 | 3 |
| Lilly USA, LLC | $47.89 | 3 |
| Pfizer Inc. | $33.03 | 2 |
| Biogen, Inc. | $25.40 | 1 |
What the 2025 payments were for
- Food and Beverage$383.13 · 25 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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