Mayra Cruz Koedam, FNP-C
NPI 1346695178ActiveIndividual· Nurse Practitioner, Family· Dallas, TX
Nurse Practitioner, Family (FNP-C) with Brightside Medical PC, practicing in Dallas, Texas. Part D covered 76 prescriptions written in 2024, 93% of them generic. Abbott Laboratories was the largest of 4 companies reporting payments in 2024, $487.57 in all, mostly food and beverage.
Overview
| NPI | 1346695178 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-C |
| Sole proprietor | No |
| NPI issued | Apr 29, 2016 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | AP130975 | TX |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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 (TX) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 76 · 94 30-day fills |
|---|---|
| Patients | 13 |
| Total drug cost | $8,544 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Brightside Medical PCBaltimore, MD · 279 clinicians
Industry payments (Open Payments)
- 2024$487.57 · 4 payments from 4 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Abbott Laboratories | $153.43 | 1 |
| Sk Life Science, Inc. | $124.10 | 1 |
| Lexicon Pharmaceuticals, Inc. | $121.81 | 1 |
| Teva Pharmaceuticals USA, Inc. | $88.23 | 1 |
What the 2024 payments were for
- Food and Beverage$487.57 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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