Marcel Esteban Gourian, ACNP-BC
NPI 1386088243ActiveIndividual· Nurse Practitioner, Acute Care· Phoenix, AZ
Nurse Practitioner, Acute Care (ACNP-BC) with Sjhmc Physician Services, practicing in Phoenix, Arizona. 54 Medicare patients in 2024, $9,011 paid; nearly all of their 231 Part D prescriptions were generic (99%). United Therapeutics Corporation was the largest of 8 companies reporting payments in 2025, $211.45 in all, mostly food and beverage. Lists St Josephs Hospital and Medical Center as a hospital affiliation.
Overview
| NPI | 1386088243 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ACNP-BC |
| Sole proprietor | No |
| NPI issued | Apr 23, 2013 |
| Last updated in NPPES | Feb 27, 2026 |
| Certified by provider | Feb 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | AP4964 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 54 |
|---|---|
| Services billed | 81 across 35 procedure codes |
| Paid by Medicare | $9,011 |
Part D prescriptions in 2024
| Prescriptions (claims) | 231 · 233 30-day fills |
|---|---|
| Patients | 95 |
| Total drug cost | $6,261 |
| Generic share | 99% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Sjhmc Physician ServicesGilbert, AZ · 646 clinicians
Hospital affiliation
- St Josephs Hospital and Medical CenterPhoenix, AZ
Industry payments (Open Payments)
- 2025$211.45 · 9 payments from 8 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| United Therapeutics Corporation | $38.97 | 2 |
| Grifols USA, LLC | $34.54 | 1 |
| Verona Pharma, Inc. | $29.56 | 1 |
| Viatris Specialty LLC | $23.83 | 1 |
| Baxter Healthcare | $22.29 | 1 |
What the 2025 payments were for
- Food and Beverage$211.45 · 9 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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