Gudalia Fajardo
NPI 1083019012ActiveIndividual· Nurse Practitioner, Family· Port Huron, MI
Nurse Practitioner, Family with St Clair Specialty Physicians PC, practicing in Port Huron, Michigan. Their prescriptions cost Medicare Part D more than their services did: $191,514 for 1,779 claims, against $18,833 paid for services in 2024. Ardelyx, Inc. was the largest of 16 companies reporting payments in 2025, $2,221 in all, mostly food and beverage. Lists Deckerville Community Hospital and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1083019012 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Nov 4, 2014 |
| Last updated in NPPES | Feb 17, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 4704267837 | 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) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 178 |
|---|---|
| Services billed | 498 across 9 procedure codes |
| Paid by Medicare | $18,833 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,779 · 4,333 30-day fills |
|---|---|
| Patients | 339 |
| Total drug cost | $191,514 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- St Clair Specialty Physicians PCShelby Township, MI · 36 clinicians
Hospital affiliations
- Deckerville Community HospitalDeckerville, MI
- Harbor Beach Community HospitalHarbor Beach, MI
- Lake Huron Medical CenterPort Huron, MI
- McKenzie Health SystemSandusky, MI
- McLaren Port HuronPort Huron, MI
Industry payments (Open Payments)
- 2025$2,221 · 25 payments from 16 companies
- 2024$2,390 · 25 payments from 18 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Ardelyx, Inc. | $369.40 | 9 |
| Averitas Pharma Inc. | $144.96 | 1 |
| Amgen Inc. | $144.57 | 1 |
| Axsome Therapeutics, Inc. | $135.36 | 2 |
| Alexion Pharmaceuticals, Inc. | $126.00 | 1 |
What the 2025 payments were for
- Food and Beverage$2,221 · 25 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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