Cynthia Marengo, AGNP
NPI 1255821088ActiveIndividual· Nurse Practitioner, Gerontology· Inverness, FL
Nurse Practitioner, Gerontology (AGNP) with Balanced Wellbeing LLC, practicing in Inverness, Florida. Their prescriptions cost Medicare Part D more than their services did: $1,919,308 for 2,575 claims, against $80,141 paid for services in 2024. Alpha Cognition USA, Inc. was the largest of 4 companies reporting payments in 2025, $1,654 in all, mostly food and beverage.
Overview
| NPI | 1255821088 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AGNP |
| Sole proprietor | No |
| NPI issued | May 17, 2018 |
| Last updated in NPPES | May 17, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | 9219039 | 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 | 464 |
|---|---|
| Services billed | 1,072 across 6 procedure codes |
| Paid by Medicare | $80,141 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,575 · 2,575 30-day fills |
|---|---|
| Patients | 330 |
| Total drug cost | $1,919,308 |
| Generic share | 75% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Balanced Wellbeing LLCOcala, FL · 229 clinicians
Industry payments (Open Payments)
- 2025$1,654 · 51 payments from 4 companies
- 2024$857.87 · 48 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Alpha Cognition USA, Inc. | $933.55 | 7 |
| Neurocrine Biosciences, Inc. | $334.65 | 24 |
| Teva Pharmaceuticals USA, Inc. | $231.42 | 14 |
| Acadia Pharmaceuticals Inc | $154.11 | 6 |
What the 2025 payments were for
- Food and Beverage$1,654 · 51 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records