Desiree Renee Provencio, DNP, CNP, PMHNP-BC
NPI 1336648328ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Albuquerque, NM
Nurse Practitioner, Psych/Mental Health (DNP, CNP, PMHNP-BC) in Albuquerque, New Mexico, licensed in NM, with an NPI issued in February 2018. Their prescriptions cost Medicare Part D more than their services did: $193,266 for 1,300 claims, against $12,301 paid for services in 2024. E.R. Squibb & Sons, L.L.C. was the largest of 9 companies reporting payments in 2025, $491.09 in all, mostly food and beverage.
Overview
| NPI | 1336648328 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DNP, CNP, PMHNP-BC |
| Sole proprietor | Yes |
| NPI issued | Feb 6, 2018 |
| Last updated in NPPES | Nov 18, 2025 |
| Certified by provider | Nov 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | CNP-03491 | NM |
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 (NM) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 21 |
|---|---|
| Services billed | 196 across 5 procedure codes |
| Paid by Medicare | $12,301 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,300 · 1,701 30-day fills |
|---|---|
| Patients | 58 |
| Total drug cost | $193,266 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Industry payments (Open Payments)
- 2025$491.09 · 17 payments from 9 companies
- 2024$888.05 · 26 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| E.R. Squibb & Sons, L.L.C. | $156.98 | 3 |
| Otsuka America Pharmaceutical, Inc. | $69.57 | 3 |
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $66.83 | 2 |
| Abbvie Inc. | $47.04 | 2 |
| Neurocrine Biosciences, Inc. | $39.81 | 2 |
What the 2025 payments were for
- Food and Beverage$491.09 · 17 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 276 psychiatric nurse practitioners in Albuquerque · All psychiatric nurse practitioners in New Mexico