Megan Robinson Vestal, FNP
NPI 1952011926ActiveIndividual· Nurse Practitioner, Primary Care· Spruce Pine, NC
Nurse Practitioner, Primary Care (FNP) with Hopscotch Primary Care PLLC and 1 other group, practicing in Spruce Pine, North Carolina. Their prescriptions cost Medicare Part D more than their services did: $167,691 for 2,451 claims, against $35,722 paid for services in 2024. Boehringer Ingelheim Pharmaceuticals, Inc. reported $17.30 in payments in 2025, mostly food and beverage. Lists Blue Ridge Regional Hospital as a hospital affiliation.
Overview
| NPI | 1952011926 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Dec 1, 2022 |
| Last updated in NPPES | Dec 1, 2022 |
| Certified by provider | Nov 19, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | 50117304 | NC |
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 (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 183 |
|---|---|
| Services billed | 994 across 42 procedure codes |
| Paid by Medicare | $35,722 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,451 · 4,356 30-day fills |
|---|---|
| Patients | 401 |
| Total drug cost | $167,691 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical groups
- Hopscotch Primary Care PLLCShelby, NC · 47 clinicians
- T4 Medical PLLCOttawa, IL · 32 clinicians
Hospital affiliation
- Blue Ridge Regional HospitalSpruce Pine, NC
Other facilities
- Hospice & Palliative Care of the Blue Ridge, IncHospice · Spruce Pine, NC
Industry payments (Open Payments)
- 2025$17.30 · 2 payments from 1 company
- 2024$23.30 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $17.30 | 2 |
What the 2025 payments were for
- Food and Beverage$17.30 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other primary care nurse practitioners in Spruce Pine
- 1841702040