Sasha Daniel Speare, RN
NPI 1427431477ActiveIndividual· Nurse Practitioner, Family· Mission Viejo, CA
Nurse Practitioner, Family (RN) with Monica Perlman MD Inc, practicing in Mission Viejo, California. Their prescriptions cost Medicare Part D more than their services did: $27,824 for 852 claims, against $14,125 paid for services in 2024. Axsome Therapeutics, Inc. was the largest of 3 companies reporting payments in 2025, $145.10 in all, mostly food and beverage.
Overview
| NPI | 1427431477 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RN |
| Sole proprietor | Yes |
| NPI issued | Jul 8, 2015 |
| Last updated in NPPES | Jan 29, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 95004320 | CA |
| Registered Nurse | 163W00000X | 22687052 | NY |
| Registered Nurse | 163W00000X | 95090648 | 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 | 54 |
|---|---|
| Services billed | 821 across 7 procedure codes |
| Paid by Medicare | $14,125 |
Part D prescriptions in 2024
| Prescriptions (claims) | 852 · 953 30-day fills |
|---|---|
| Patients | 215 |
| Total drug cost | $27,824 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Monica Perlman MD IncSan Diego, CA · 364 clinicians
Industry payments (Open Payments)
- 2025$145.10 · 4 payments from 3 companies
- 2024$447.83 · 16 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Axsome Therapeutics, Inc. | $108.63 | 1 |
| Electronic Waveform Lab, Inc. | $21.83 | 2 |
| Abbott Laboratories | $14.64 | 1 |
What the 2025 payments were for
- Food and Beverage$145.10 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 54 family nurse practitioners in Mission Viejo · All family nurse practitioners in California