Kim Ann Vitacco, NP
NPI 1912908484ActiveIndividual· Nurse Practitioner, Adult Health· Wading River, NY
Nurse Practitioner, Adult Health (NP) in Wading River, New York, trained at State University of New York at Stony Brook, School of Medicine (class of 2003). Their prescriptions cost Medicare Part D more than their services did: $811,918 for 13,221 claims, against $253,499 paid for services in 2024.
Overview
| NPI | 1912908484 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Aug 9, 2005 |
| Last updated in NPPES | Jul 18, 2022 |
| Certified by provider | Jul 18, 2022 |
| Reactivated | Jun 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | F303866 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 298 |
|---|---|
| Services billed | 3,170 across 9 procedure codes |
| Paid by Medicare | $253,499 |
Part D prescriptions in 2024
| Prescriptions (claims) | 13,221 · 14,515 30-day fills |
|---|---|
| Patients | 337 |
| Total drug cost | $811,918 |
| Generic share | 89% of claims |
Education and affiliations
| Medical school | State University of New York at Stony Brook, School of Medicine |
|---|---|
| Graduation year | 2003 |
| Medicare specialty | Nurse Practitioner |
Other facilities
- Centerwell Home HealthHome health agency · Hauppauge, NY
- Constellation Home CareHome health agency · Syosset, NY
- Tender Loving Care, An Amedisys CompanyHome health agency · Medford, NY
- Vns & Hospice of Suffolk Inc ChhaHome health agency · Northport, NY
- WellboundHome health agency · Brooklyn, NY
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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