Mimi Song Idicula, NP
NPI 1003009580ActiveIndividual· Nurse Practitioner· Irving, TX
Nurse Practitioner (NP) in Irving, Texas, licensed in TX, with an NPI issued in August 2007. Mostly services rather than prescriptions: Medicare paid $14,878 for 61 patients in 2024, with only 37 Part D claims. Nalu Medical, Inc. was the largest of 13 companies reporting payments in 2025, $1,407 in all, mostly food and beverage.
Overview
| NPI | 1003009580 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Aug 20, 2007 |
| Last updated in NPPES | Jul 13, 2021 |
| Certified by provider | Apr 15, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | AP137449 | TX |
| Chiropractor | 111N00000X | 10049 | 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 | 61 |
|---|---|
| Services billed | 341 across 11 procedure codes |
| Paid by Medicare | $14,878 |
Part D prescriptions in 2024
| Prescriptions (claims) | 37 · 39 30-day fills |
|---|---|
| Total drug cost | $16,331 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2025$1,407 · 99 payments from 13 companies
- 2024$1,248 · 59 payments from 14 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Nalu Medical, Inc. | $359.92 | 32 |
| Abbvie Inc. | $164.62 | 16 |
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | $161.51 | 8 |
| Pfizer Inc. | $158.33 | 12 |
| Collegium Pharmaceutical, Inc. | $150.02 | 12 |
What the 2025 payments were for
- Food and Beverage$1,407 · 99 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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