Annette Noel Mense, PA
NPI 1992196778ActiveIndividual· Physician Assistant· Carthage, MO
Physician Assistant (PA) with Mercy Clinic Joplin LLC, practicing in Carthage, Missouri. Their prescriptions cost Medicare Part D more than their services did: $2,701,776 for 4,159 claims, against $35,054 paid for services in 2024. Novo Nordisk Inc was the largest of 20 companies reporting payments in 2025, $1,838 in all, mostly food and beverage. Lists Mercy Hospital Carthage and 1 other hospital as hospital affiliations.
Overview
| NPI | 1992196778 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Feb 14, 2015 |
| Last updated in NPPES | Feb 16, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 2015004694 | MO |
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 - Physician Assistant (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 180 |
|---|---|
| Services billed | 1,118 across 15 procedure codes |
| Paid by Medicare | $35,054 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,159 · 7,218 30-day fills |
|---|---|
| Patients | 409 |
| Total drug cost | $2,701,776 |
| Generic share | 22% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Mercy Clinic Joplin LLCJoplin, MO · 295 clinicians
Hospital affiliations
- Mercy Hospital CarthageCarthage, MO
- Mercy Hospital JoplinJoplin, MO
Industry payments (Open Payments)
- 2025$1,838 · 110 payments from 20 companies
- 2024$575.05 · 33 payments from 15 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $417.26 | 23 |
| Dexcom, Inc. | $276.82 | 22 |
| Abbott Laboratories | $189.72 | 10 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $182.99 | 11 |
| Tandem Diabetes Care, Inc. | $94.51 | 8 |
What the 2025 payments were for
- Food and Beverage$1,838 · 110 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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