Melisa Arreguin, FNP
NPI 1417205683ActiveIndividual· Nurse Practitioner, Family· Tulare, CA
Nurse Practitioner, Family (FNP) with The Nephrology Group Inc, practicing in Tulare, California. Their prescriptions cost Medicare Part D more than their services did: $706,685 for 1,401 claims, against $19,866 paid for services in 2024. Ardelyx, Inc. was the largest of 2 companies reporting payments in 2025, $251.79 in all, mostly food and beverage.
Overview
| NPI | 1417205683 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | Yes |
| NPI issued | Aug 20, 2012 |
| Last updated in NPPES | Aug 20, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 22062 | CA |
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 (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 76 |
|---|---|
| Services billed | 107 across 3 procedure codes |
| Paid by Medicare | $19,866 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,401 · 2,101 30-day fills |
|---|---|
| Patients | 206 |
| Total drug cost | $706,685 |
| Generic share | 72% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- The Nephrology Group IncFresno, CA · 51 clinicians
Industry payments (Open Payments)
- 2025$251.79 · 7 payments from 2 companies
- 2024$246.03 · 9 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Ardelyx, Inc. | $207.74 | 5 |
| Glaxosmithkline, LLC. | $44.05 | 2 |
What the 2025 payments were for
- Food and Beverage$251.79 · 7 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 25 family nurse practitioners in Tulare · All family nurse practitioners in California