Heather Renee Lagrande, CNP
NPI 1346860806ActiveIndividual· Nurse Practitioner, Acute Care· Lima, OH
Nurse Practitioner, Acute Care (CNP) with Mercy Health Physicians Lima Specialty Care LLC, practicing in Lima, Ohio. 209 Medicare patients in 2024, $18,649 paid; nearly all of their 239 Part D prescriptions were generic (99%). Astrazeneca Pharmaceuticals LP was the largest of 8 companies reporting payments in 2025, $344.15 in all, mostly food and beverage. Lists Mercy Health St Ritas Medical Center as a hospital affiliation.
Overview
| NPI | 1346860806 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CNP |
| Sole proprietor | No |
| NPI issued | Apr 24, 2020 |
| Last updated in NPPES | Aug 10, 2020 |
| Certified by provider | Aug 10, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | APRN.CNP.0027042 | OH |
| Registered Nurse | 163W00000X | RN.389494 | OH |
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 (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 209 |
|---|---|
| Services billed | 327 across 10 procedure codes |
| Paid by Medicare | $18,649 |
Part D prescriptions in 2024
| Prescriptions (claims) | 239 · 488 30-day fills |
|---|---|
| Patients | 95 |
| Total drug cost | $6,485 |
| Generic share | 99% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Mercy Health Physicians Lima Specialty Care LLCLima, OH · 253 clinicians
Hospital affiliation
Industry payments (Open Payments)
- 2025$344.15 · 11 payments from 8 companies
- 2024$42.29 · 3 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $104.82 | 1 |
| Abbvie Inc. | $97.25 | 3 |
| Daiichi Sankyo Inc. | $44.19 | 2 |
| Lilly USA, LLC | $31.77 | 1 |
| Novartis Pharmaceuticals Corporation | $19.75 | 1 |
What the 2025 payments were for
- Food and Beverage$344.15 · 11 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 24 acute care nurse practitioners in Lima · All acute care nurse practitioners in Ohio