Tosha L. Nygaard, DNP
NPI 1376702175ActiveIndividual· Nurse Practitioner· Bismarck, ND
Nurse Practitioner (DNP) with St Alexius Medical Center, practicing in Bismarck, North Dakota. Their prescriptions cost Medicare Part D more than their services did: $129,798 for 2,751 claims, against $20,105 paid for services in 2024. E.R. Squibb & Sons, L.L.C. reported $25.31 in payments in 2025, mostly education. Lists Chi St Alexius Health and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1376702175 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DNP |
| Sole proprietor | No |
| NPI issued | Jun 5, 2008 |
| Last updated in NPPES | Oct 10, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | R28166 | ND |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | R28166 | ND |
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 (ND) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 79 |
|---|---|
| Services billed | 285 across 9 procedure codes |
| Paid by Medicare | $20,105 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,751 · 4,079 30-day fills |
|---|---|
| Patients | 174 |
| Total drug cost | $129,798 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- St Alexius Medical CenterBismarck, ND · 238 clinicians
Hospital affiliations
- Chi St Alexius HealthBismarck, ND
- Sanford Medical Center BismarckBismarck, ND
- South Central HealthWishek, ND
Industry payments (Open Payments)
- 2025$25.31 · 1 payment from 1 company
- 2024$402.60 · 4 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| E.R. Squibb & Sons, L.L.C. | $25.31 | 1 |
What the 2025 payments were for
- Education$25.31 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 112 nurse practitioners in Bismarck · All nurse practitioners in North Dakota