Hiran Alejandro Alfonso, APRN-C
NPI 1083372098ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Jupiter, FL
Nurse Practitioner, Psych/Mental Health (APRN-C) with The Brain Spa LLC, practicing in Jupiter, Florida. Their prescriptions cost Medicare Part D more than their services did: $86,151 for 848 claims, against $24,367 paid for services in 2024. Alkermes, Inc. was the largest of 16 companies reporting payments in 2025, $2,108 in all, mostly food and beverage.
Overview
| NPI | 1083372098 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN-C |
| Sole proprietor | Yes |
| NPI issued | Dec 7, 2021 |
| Last updated in NPPES | Apr 17, 2025 |
| Certified by provider | Apr 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | 11016929 | FL |
| Nurse Practitioner | 363L00000X | 11016929 | FL |
| Nurse Practitioner | 363L00000X | 14111 | CT |
| Nurse Practitioner | 363L00000X | 1168872 | TX |
| Nurse Practitioner | 363L00000X | NP003015 | GA |
| Nurse Practitioner | 363L00000X | 3-002144 | AL |
| Nurse Practitioner | 363L00000X | 406934 | NY |
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 (CT); Practitioner - Nurse Practitioner (FL); Practitioner - Certified Clinical Nurse Specialist (Cns) (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 208 |
|---|---|
| Services billed | 480 across 30 procedure codes |
| Paid by Medicare | $24,367 |
Part D prescriptions in 2024
| Prescriptions (claims) | 848 · 896 30-day fills |
|---|---|
| Patients | 477 |
| Total drug cost | $86,151 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- The Brain Spa LLCJupiter, FL · 11 clinicians
Industry payments (Open Payments)
- 2025$2,108 · 105 payments from 16 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Alkermes, Inc. | $355.75 | 17 |
| Abbvie Inc. | $299.03 | 20 |
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $298.88 | 15 |
| Takeda Pharmaceuticals U.S.A., Inc. | $190.94 | 8 |
| Neurocrine Biosciences, Inc. | $173.36 | 7 |
What the 2025 payments were for
- Food and Beverage$2,108 · 105 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 20 psychiatric nurse practitioners in Jupiter · All psychiatric nurse practitioners in Florida