Andrea Marie Vacha, APRN
NPI 1922507086ActiveIndividual· Nurse Practitioner· Fremont, NE
Nurse Practitioner (APRN) with Physicians Clinic Inc, practicing in Fremont, Nebraska. Their prescriptions cost Medicare Part D more than their services did: $252,977 for 2,959 claims, against $69,728 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 20 companies reporting payments in 2025, $980.49 in all, mostly food and beverage. Lists Methodist Fremont Health and 1 other hospital as hospital affiliations.
Overview
| NPI | 1922507086 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | No |
| NPI issued | Feb 5, 2018 |
| Last updated in NPPES | Mar 16, 2021 |
| Certified by provider | Mar 16, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 112407 | NE |
| Registered Nurse | 163W00000X | 61243 | NE |
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 (NE) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 226 |
|---|---|
| Services billed | 2,256 across 76 procedure codes |
| Paid by Medicare | $69,728 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,959 · 6,753 30-day fills |
|---|---|
| Patients | 271 |
| Total drug cost | $252,977 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Physicians Clinic IncOmaha, NE · 561 clinicians
Hospital affiliations
- Methodist Fremont HealthFremont, NE
- The Nebraska Methodist HospitalOmaha, NE
Other facilities
- Methodist Fremont Health Home CareHome health agency · Fremont, NE
Industry payments (Open Payments)
- 2025$980.49 · 63 payments from 20 companies
- 2024$526.38 · 31 payments from 11 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $177.69 | 13 |
| Lilly USA, LLC | $133.14 | 11 |
| Amgen Inc. | $96.80 | 6 |
| Novo Nordisk Inc | $94.99 | 6 |
| Otsuka America Pharmaceutical, Inc. | $82.85 | 5 |
What the 2025 payments were for
- Food and Beverage$980.49 · 63 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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