Lana Lynn Sykes
NPI 1083346233ActiveIndividual· Nurse Practitioner, Family· Cheyenne, WY
Nurse Practitioner, Family with Carol A Fischer MD PC, practicing in Cheyenne, Wyoming. Their prescriptions cost Medicare Part D more than their services did: $176,268 for 2,135 claims, against $28,090 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 24 companies reporting payments in 2025, $1,388 in all, mostly food and beverage. Lists Cheyenne Regional Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1083346233 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 27, 2022 |
| Last updated in NPPES | Jul 18, 2022 |
| Certified by provider | Jul 18, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 50460 | WY |
| Registered Nurse | 163W00000X | 41786 | WY |
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 (WY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 237 |
|---|---|
| Services billed | 489 across 24 procedure codes |
| Paid by Medicare | $28,090 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,135 · 4,437 30-day fills |
|---|---|
| Patients | 257 |
| Total drug cost | $176,268 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Carol A Fischer MD PCCheyenne, WY · 3 clinicians
Hospital affiliations
- Cheyenne Regional Medical CenterCheyenne, WY
- Regional West Medical CenterScottsbluff, NE
Industry payments (Open Payments)
- 2025$1,388 · 79 payments from 24 companies
- 2024$838.08 · 38 payments from 20 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $179.72 | 11 |
| Novo Nordisk Inc | $164.70 | 9 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $159.70 | 13 |
| Amgen Inc. | $153.49 | 12 |
| Viiv Healthcare Company | $126.70 | 5 |
What the 2025 payments were for
- Food and Beverage$1,383 · 78 payments
- Education$5.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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