Ivonne Rivera Joiner, CRNP
NPI 1073050662ActiveIndividual· Nurse Practitioner· Rainbow City, AL
Nurse Practitioner (CRNP) with Gadsden Regional Physician Group Practice LLC, practicing in Rainbow City, Alabama. Their prescriptions cost Medicare Part D more than their services did: $401,828 for 4,233 claims, against $54,167 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 19 companies reporting payments in 2025, $1,234 in all, mostly food and beverage. Lists Gadsden Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1073050662 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNP |
| Sole proprietor | No |
| NPI issued | Jan 20, 2017 |
| Last updated in NPPES | Jan 31, 2020 |
| Certified by provider | Jan 31, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | F0916080 | AL |
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 (AL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 169 |
|---|---|
| Services billed | 2,509 across 54 procedure codes |
| Paid by Medicare | $54,167 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,233 · 8,412 30-day fills |
|---|---|
| Patients | 390 |
| Total drug cost | $401,828 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Gadsden Regional Physician Group Practice LLCGadsden, AL · 34 clinicians
Hospital affiliation
- Gadsden Regional Medical CenterGadsden, AL
Other facilities
- Centerwell Home HealthHome health agency · Rainbow City, AL
Industry payments (Open Payments)
- 2025$1,234 · 70 payments from 19 companies
- 2024$724.07 · 45 payments from 10 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $275.06 | 20 |
| Abbvie Inc. | $182.29 | 9 |
| Novo Nordisk Inc | $145.54 | 11 |
| Astellas Pharma US Inc | $111.31 | 3 |
| Corcept Therapeutics | $64.47 | 3 |
What the 2025 payments were for
- Food and Beverage$1,174 · 69 payments
- Education$60.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other nurse practitioners in Rainbow City
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