Ivy Orellana
NPI 1396413118ActiveIndividual· Nurse Practitioner, Family· Council Bluffs, IA
Nurse Practitioner, Family with Unmc Physicians, practicing in Council Bluffs, Iowa. Their prescriptions cost Medicare Part D more than their services did: $66,968 for 293 claims, against $16,452 paid for services in 2024. Abiomed was the largest of 6 companies reporting payments in 2025, $171.34 in all, mostly food and beverage. Lists The Nebraska Medical Center as a hospital affiliation.
Overview
| NPI | 1396413118 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 6, 2021 |
| Last updated in NPPES | Sep 24, 2021 |
| Certified by provider | Sep 24, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | A165750 | IA |
| Nurse Practitioner, Family | 363LF0000X | 84235 | NE |
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 (NE) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 253 |
|---|---|
| Services billed | 423 across 18 procedure codes |
| Paid by Medicare | $16,452 |
Part D prescriptions in 2024
| Prescriptions (claims) | 293 · 619 30-day fills |
|---|---|
| Patients | 106 |
| Total drug cost | $66,968 |
| Generic share | 81% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Unmc PhysiciansBellevue, NE · 1,518 clinicians
Hospital affiliation
- The Nebraska Medical CenterOmaha, NE
Industry payments (Open Payments)
- 2025$171.34 · 8 payments from 6 companies
- 2024$472.22 · 6 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abiomed | $49.77 | 2 |
| Impulse Dynamics (USA) Inc. | $31.82 | 2 |
| Edwards Lifesciences Corporation | $31.14 | 1 |
| Cvrx, Inc. | $28.13 | 1 |
| Novartis Pharmaceuticals Corporation | $16.17 | 1 |
What the 2025 payments were for
- Food and Beverage$171.34 · 8 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 34 family nurse practitioners in Council Bluffs · All family nurse practitioners in Iowa