Heather Spallino Duplechain, MSN, APRN, PMHNP-BC
Nurse Practitioner, Psych/Mental Health (MSN, APRN, PMHNP-BC) with Acadiana Area Human Services District, practicing in Crowley, Louisiana. Their prescriptions cost Medicare Part D more than their services did: $542,202 for 2,523 claims, against $5,621 paid for services in 2024. Axsome Therapeutics, Inc. was the largest of 9 companies reporting payments in 2025, $780.48 in all, mostly food and beverage. Lists Acadia General Hospital as a hospital affiliation.
Overview
| NPI | 1053898403 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSN, APRN, PMHNP-BC |
| Sole proprietor | No |
| NPI issued | Jul 27, 2018 |
| Last updated in NPPES | Feb 1, 2024 |
| Certified by provider | Feb 1, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | AP10161 | LA |
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 (LA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 42 |
|---|---|
| Services billed | 142 across 8 procedure codes |
| Paid by Medicare | $5,621 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,523 · 2,854 30-day fills |
|---|---|
| Patients | 142 |
| Total drug cost | $542,202 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Acadiana Area Human Services DistrictOpelousas, LA · 38 clinicians
Hospital affiliation
- Acadia General HospitalCrowley, LA
Industry payments (Open Payments)
- 2025$780.48 · 37 payments from 9 companies
- 2024$907.71 · 46 payments from 9 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Axsome Therapeutics, Inc. | $184.31 | 4 |
| Janssen Pharmaceuticals, Inc | $152.78 | 8 |
| Abbvie Inc. | $150.39 | 10 |
| E.R. Squibb & Sons, L.L.C. | $81.18 | 4 |
| Otsuka America Pharmaceutical, Inc. | $58.82 | 3 |
What the 2025 payments were for
- Food and Beverage$780.48 · 37 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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