Ashley St. Romain Landeche, FNP
NPI 1245837897ActiveIndividual· Nurse Practitioner, Family· Houma, LA
Nurse Practitioner, Family (FNP) with Cardiovascular Institute of the South, LLC and 1 other group, practicing in Houma, Louisiana. Their prescriptions cost Medicare Part D more than their services did: $124,367 for 638 claims, against $27,183 paid for services in 2024. Kestra Medical Technology Services, Inc. was the largest of 4 companies reporting payments in 2025, $362.28 in all, mostly food and beverage. Lists Terrebonne General Medical Center - Parish as a hospital affiliation.
Overview
| NPI | 1245837897 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Oct 7, 2020 |
| Last updated in NPPES | Dec 22, 2020 |
| Certified by provider | Dec 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 215014 | LA |
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 (LA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 225 |
|---|---|
| Services billed | 372 across 19 procedure codes |
| Paid by Medicare | $27,183 |
Part D prescriptions in 2024
| Prescriptions (claims) | 638 · 1,098 30-day fills |
|---|---|
| Patients | 156 |
| Total drug cost | $124,367 |
| Generic share | 72% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Cardiovascular Institute of the South, LLCLafayette, LA · 146 clinicians
- Specialty Infusion LLCLafayette, LA · 29 clinicians
Hospital affiliation
Industry payments (Open Payments)
- 2025$362.28 · 11 payments from 4 companies
- 2024$689.21 · 20 payments from 9 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Kestra Medical Technology Services, Inc. | $208.08 | 5 |
| Abbott Laboratories | $90.59 | 3 |
| Pfizer Inc. | $40.58 | 2 |
| Stryker Corporation | $23.03 | 1 |
What the 2025 payments were for
- Food and Beverage$362.28 · 11 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 77 family nurse practitioners in Houma · All family nurse practitioners in Louisiana