Mistey Rayl, AGNP
NPI 1992202873ActiveIndividual· Nurse Practitioner· Grayling, MI
Nurse Practitioner (AGNP) in Grayling, Michigan, trained at University of Michigan Medical School (class of 2018). Part D covered 268 prescriptions written in 2024, 85% of them generic. Indivior Inc. was the largest of 3 companies reporting payments in 2025, $137.29 in all, mostly food and beverage.
Overview
| NPI | 1992202873 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AGNP |
| Sole proprietor | No |
| NPI issued | Apr 9, 2018 |
| Last updated in NPPES | Aug 22, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 4704231346 | MI |
| Registered Nurse | 163W00000X | 4704231346 | MI |
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 (MI) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 268 · 280 30-day fills |
|---|---|
| Patients | 37 |
| Total drug cost | $44,283 |
| Generic share | 85% of claims |
Education and affiliations
| Medical school | University of Michigan Medical School |
|---|---|
| Graduation year | 2018 |
| Medicare specialty | Nurse Practitioner |
Medical group
- Midmichigan Health ServicesRoscommon, MI · 27 clinicians
Industry payments (Open Payments)
- 2025$137.29 · 7 payments from 3 companies
- 2024$133.85 · 7 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Indivior Inc. | $64.39 | 3 |
| Braeburn Inc. | $40.35 | 2 |
| Orexo US, Inc. | $32.55 | 2 |
What the 2025 payments were for
- Food and Beverage$137.29 · 7 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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