Alexsandra Aquila Lachance, MSN, APRN, FNP-C
NPI 1023788445ActiveIndividual· Nurse Practitioner, Family· Novi, MI
Nurse Practitioner, Family (MSN, APRN, FNP-C) in Novi, Michigan, trained at University of Toledo College of Medicine (class of 2021). In 2024 Medicare paid $24,133 for 111 patients, and Part D covered 175 of their prescriptions, 79% of them generic. Merck Sharp & Dohme LLC was the largest of 14 companies reporting payments in 2025, $623.74 in all, mostly food and beverage.
Overview
| NPI | 1023788445 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSN, APRN, FNP-C |
| Sole proprietor | Yes |
| NPI issued | Sep 16, 2021 |
| Last updated in NPPES | Oct 21, 2026 |
| Certified by provider | Oct 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 4704297807 | 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 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 - Nurse Practitioner (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 111 |
|---|---|
| Services billed | 1,513 across 24 procedure codes |
| Paid by Medicare | $24,133 |
Part D prescriptions in 2024
| Prescriptions (claims) | 175 · 220 30-day fills |
|---|---|
| Patients | 107 |
| Total drug cost | $21,217 |
| Generic share | 79% of claims |
Education and affiliations
| Medical school | University of Toledo College of Medicine |
|---|---|
| Graduation year | 2021 |
| Medicare specialty | Nurse Practitioner |
Medical groups
- Henry Ford Health Providence HospitalNovi, MI · 375 clinicians
- Alliance Physician Services of Michigan, P.C.West Bloomfield, MI · 82 clinicians
Hospital affiliations
- Ascension Providence Hospital, Southfield and NoviSouthfield, MI
- Beaumont Hospital Royal OakRoyal Oak, MI
- Trinity Health Ann Arbor HospitalAnn Arbor, MI
- Trinity Health Livingston HospitalHowell, MI
Industry payments (Open Payments)
- 2025$623.74 · 27 payments from 14 companies
- 2024$545.31 · 21 payments from 12 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Merck Sharp & Dohme LLC | $124.29 | 4 |
| Olympus America Inc. | $90.46 | 3 |
| Endo USA, Inc. | $78.53 | 4 |
| Antares Pharma, Inc. | $62.09 | 3 |
| Sumitomo Pharma America, Inc. | $56.14 | 3 |
What the 2025 payments were for
- Food and Beverage$623.74 · 27 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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