Layna Francisca Yip Tellez, APRN
NPI 1174192157ActiveIndividual· Nurse Practitioner, Family· Miami, FL
Nurse Practitioner, Family (APRN) with Gastromed LLC, practicing in Miami, Florida. Their prescriptions cost Medicare Part D more than their services did: $726,491 for 1,780 claims, against $7,759 paid for services in 2024. Janssen Biotech, Inc. was the largest of 16 companies reporting payments in 2025, $1,945 in all, mostly food and beverage. Lists Jackson Health System as a hospital affiliation.
Overview
| NPI | 1174192157 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | Yes |
| NPI issued | Jun 23, 2021 |
| Last updated in NPPES | Mar 19, 2024 |
| Certified by provider | Jun 23, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | APRN11013829 | FL |
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 (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 75 |
|---|---|
| Services billed | 116 across 7 procedure codes |
| Paid by Medicare | $7,759 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,780 · 2,595 30-day fills |
|---|---|
| Patients | 410 |
| Total drug cost | $726,491 |
| Generic share | 78% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Gastromed LLCHomestead, FL · 40 clinicians
Hospital affiliation
- Jackson Health SystemMiami, FL
Industry payments (Open Payments)
- 2025$1,945 · 90 payments from 16 companies
- 2024$2,300 · 81 payments from 19 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Janssen Biotech, Inc. | $431.61 | 14 |
| Abbvie Inc. | $312.13 | 13 |
| Madrigal Pharmaceuticals | $213.37 | 11 |
| Qol Medical, LLC | $188.24 | 10 |
| Ardelyx, Inc. | $186.78 | 10 |
What the 2025 payments were for
- Food and Beverage$1,779 · 88 payments
- Education$165.99 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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