Laura M. Defraia, CNP
NPI 1194092957ActiveIndividual· Nurse Practitioner, Women's Health· Grand Rapids, MI
Nurse Practitioner, Women's Health (CNP) with Spectrum Health Primary Care Partners, practicing in Grand Rapids, Michigan. Their prescriptions cost Medicare Part D more than their services did: $99,794 for 844 claims, against $5,216 paid for services in 2024. Astellas Pharma US Inc was the largest of 2 companies reporting payments in 2025, $221.99 in all, mostly food and beverage. Lists Spectrum Health as a hospital affiliation.
Overview
| NPI | 1194092957 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CNP |
| Sole proprietor | No |
| NPI issued | Nov 22, 2011 |
| Last updated in NPPES | Mar 2, 2021 |
| Certified by provider | Mar 2, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Women's Health Primary | 363LW0102X | 4704307776 | 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 | 39 |
|---|---|
| Services billed | 126 across 12 procedure codes |
| Paid by Medicare | $5,216 |
Part D prescriptions in 2024
| Prescriptions (claims) | 844 · 2,344 30-day fills |
|---|---|
| Patients | 191 |
| Total drug cost | $99,794 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Spectrum Health Primary Care PartnersGrand Rapids, MI · 2,294 clinicians
Hospital affiliation
- Spectrum HealthGrand Rapids, MI
Industry payments (Open Payments)
- 2025$221.99 · 3 payments from 2 companies
- 2024$58.61 · 3 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astellas Pharma US Inc | $124.99 | 1 |
| Bayer Healthcare Pharmaceuticals Inc. | $97.00 | 2 |
What the 2025 payments were for
- Food and Beverage$221.99 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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