Ilya O. Stagner, FNP-C
NPI 1083376750ActiveIndividual· Nurse Practitioner, Family· Maryville, MO
Nurse Practitioner, Family (FNP-C) with Ssm Regional Health Services, practicing in Maryville, Missouri. 99 Medicare patients in 2024, $17,835 paid; nearly all of their 108 Part D prescriptions were generic (92%). Otsuka America Pharmaceutical, Inc. reported $22.87 in payments in 2024, mostly food and beverage. Lists Mosaic Life Care at St Joseph and 1 other hospital as hospital affiliations.
Overview
| NPI | 1083376750 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-C |
| Sole proprietor | Yes |
| NPI issued | Oct 11, 2021 |
| Last updated in NPPES | Apr 17, 2025 |
| Certified by provider | Apr 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 2024009165 | MO |
| Nurse Practitioner | 363L00000X | 80603 | KS |
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 (KS); Practitioner - Nurse Practitioner (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 99 |
|---|---|
| Services billed | 278 across 12 procedure codes |
| Paid by Medicare | $17,835 |
Part D prescriptions in 2024
| Prescriptions (claims) | 108 · 112 30-day fills |
|---|---|
| Patients | 46 |
| Total drug cost | $2,274 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Ssm Regional Health ServicesJefferson City, MO · 166 clinicians
Hospital affiliations
- Mosaic Life Care at St JosephSaint Joseph, MO
- Mosaic Medical Center - MaryvilleMaryville, MO
Industry payments (Open Payments)
- 2024$22.87 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Otsuka America Pharmaceutical, Inc. | $22.87 | 1 |
What the 2024 payments were for
- Food and Beverage$22.87 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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