Saby Kirpal, FNP
NPI 1225741838ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Fresno, CA
Nurse Practitioner, Psych/Mental Health (FNP) with Cep America - Psychiatry PC, practicing in Fresno, California. 308 Medicare patients in 2024, $67,312 paid; nearly all of their 92 Part D prescriptions were generic (96%). Otsuka America Pharmaceutical, Inc. reported $26.79 in payments in 2025, mostly food and beverage. Lists Memorial Medical Center as a hospital affiliation.
Overview
| NPI | 1225741838 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | Yes |
| NPI issued | Dec 28, 2022 |
| Last updated in NPPES | Oct 29, 2025 |
| Certified by provider | Oct 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | 95023411 | CA |
| Family Medicine | 207Q00000X | 95023411 | CA |
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 (CA); Practitioner - Nurse Practitioner (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 308 |
|---|---|
| Services billed | 1,248 across 3 procedure codes |
| Paid by Medicare | $67,312 |
Part D prescriptions in 2024
| Prescriptions (claims) | 92 · 94 30-day fills |
|---|---|
| Total drug cost | $12,930 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Cep America - Psychiatry PCWalnut Creek, CA · 93 clinicians
Hospital affiliation
- Memorial Medical CenterModesto, CA
Industry payments (Open Payments)
- 2025$26.79 · 1 payment from 1 company
- 2024$40.57 · 2 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Otsuka America Pharmaceutical, Inc. | $26.79 | 1 |
What the 2025 payments were for
- Food and Beverage$26.79 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 80 psychiatric nurse practitioners in Fresno · All psychiatric nurse practitioners in California