Joel Nieves Morcilla, FNP-C
NPI 1942832191ActiveIndividual· Nurse Practitioner, Family· Baytown, TX
Nurse Practitioner, Family (FNP-C) with Haider Afzal MD PA, practicing in Baytown, Texas. Their prescriptions cost Medicare Part D more than their services did: $201,663 for 2,600 claims, against $29,314 paid for services in 2024. Amgen Inc. was the largest of 13 companies reporting payments in 2025, $638.63 in all, mostly food and beverage.
Overview
| NPI | 1942832191 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-C |
| Sole proprietor | Yes |
| NPI issued | Feb 5, 2020 |
| Last updated in NPPES | May 19, 2022 |
| Certified by provider | May 19, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | AP145635 | TX |
| Registered Nurse, Emergency | 163WE0003X | 861301 | TX |
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 (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 73 |
|---|---|
| Services billed | 964 across 35 procedure codes |
| Paid by Medicare | $29,314 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,600 · 4,392 30-day fills |
|---|---|
| Patients | 300 |
| Total drug cost | $201,663 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Haider Afzal MD PAHouston, TX · 3 clinicians
Industry payments (Open Payments)
- 2025$638.63 · 27 payments from 13 companies
- 2024$401.33 · 23 payments from 9 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Amgen Inc. | $202.66 | 7 |
| Lilly USA, LLC | $70.53 | 3 |
| Sumitomo Pharma America, Inc. | $68.69 | 3 |
| Astrazeneca Pharmaceuticals LP | $54.28 | 3 |
| Exact Sciences Corporation | $52.82 | 2 |
What the 2025 payments were for
- Food and Beverage$638.63 · 27 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 65 family nurse practitioners in Baytown · All family nurse practitioners in Texas