Christa Ruth Spanich, CNP
NPI 1386787000ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Tulsa, OK
Nurse Practitioner, Psych/Mental Health (CNP) with Family and Children's Services, Inc, practicing in Tulsa, Oklahoma. Their prescriptions cost Medicare Part D more than their services did: $693,418 for 2,060 claims, against $4,274 paid for services in 2024. Alkermes, Inc. was the largest of 3 companies reporting payments in 2025, $56.01 in all, mostly food and beverage.
Overview
| NPI | 1386787000 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CNP |
| Sole proprietor | No |
| NPI issued | Feb 14, 2007 |
| Last updated in NPPES | Nov 26, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | 81835 | OK |
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 (OK) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 24 |
|---|---|
| Services billed | 117 across 7 procedure codes |
| Paid by Medicare | $4,274 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,060 · 2,188 30-day fills |
|---|---|
| Patients | 62 |
| Total drug cost | $693,418 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Family and Children's Services, IncTulsa, OK · 62 clinicians
Industry payments (Open Payments)
- 2025$56.01 · 3 payments from 3 companies
- 2024$27.52 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Alkermes, Inc. | $19.30 | 1 |
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $18.94 | 1 |
| Janssen Pharmaceuticals, Inc | $17.77 | 1 |
What the 2025 payments were for
- Food and Beverage$56.01 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 67 psychiatric nurse practitioners in Tulsa · All psychiatric nurse practitioners in Oklahoma