Nicole Marie Antenucci, P.A.
NPI 1972739852ActiveIndividual· Physician Assistant· Tripler Army Medical Center, HI
Physician Assistant (P.A.) with St Vincent's Ambulatory Care Inc, practicing in Tripler Army Medical Center, Hawaii. 25 Medicare patients in 2024, $6,528 paid; nearly all of their 82 Part D prescriptions were generic (99%). Medtronic, Inc. was the largest of 8 companies reporting payments in 2025, $2,725 in all, mostly travel and lodging. Lists Ascension St Vincent's Riverside as a hospital affiliation.
Overview
| NPI | 1972739852 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A. |
| Sole proprietor | No |
| NPI issued | Jun 4, 2009 |
| Last updated in NPPES | Jan 6, 2022 |
| Certified by provider | Jan 6, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA9109691 | FL |
| Physician Assistant, Medical | 363AM0700X | MA052460 | PA |
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 - Physician Assistant (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 25 |
|---|---|
| Services billed | 76 across 20 procedure codes |
| Paid by Medicare | $6,528 |
Part D prescriptions in 2024
| Prescriptions (claims) | 82 · 89 30-day fills |
|---|---|
| Patients | 66 |
| Total drug cost | $596.52 |
| Generic share | 99% of claims |
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- St Vincent's Ambulatory Care IncJacksonville, FL · 310 clinicians
Hospital affiliation
- Ascension St Vincent's RiversideJacksonville, FL
Industry payments (Open Payments)
- 2025$2,725 · 40 payments from 8 companies
- 2024$1,260 · 15 payments from 8 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $2,366 | 25 |
| Caris Mpi, Inc. | $83.97 | 3 |
| Merck Sharp & Dohme LLC | $82.32 | 3 |
| Tempus Ai, Inc | $64.22 | 2 |
| Abbvie Inc. | $59.46 | 3 |
What the 2025 payments were for
- Travel and Lodging$1,489 · 6 payments
- Food and Beverage$1,236 · 34 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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