Dar'Ya Raisa Grozovskaya, NP
NPI 1447034483ActiveIndividual· Nurse Practitioner, Primary Care· Woodburn, OR
Nurse Practitioner, Primary Care (NP) with Icco LLC, practicing in Woodburn, Oregon. Their prescriptions cost Medicare Part D more than their services did: $14,522 for 191 claims, against $4,816 paid for services in 2024. Lists Sacred Heart Medical Center - Riverbend and 1 other hospital as hospital affiliations.
Overview
| NPI | 1447034483 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | Yes |
| NPI issued | Aug 21, 2023 |
| Last updated in NPPES | Jun 6, 2024 |
| Certified by provider | Jun 6, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | 10019888 | OR |
| Nurse Practitioner, Family | 363LF0000X | 10019888 | OR |
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 (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 49 |
|---|---|
| Services billed | 84 across 14 procedure codes |
| Paid by Medicare | $4,816 |
Part D prescriptions in 2024
| Prescriptions (claims) | 191 · 304 30-day fills |
|---|---|
| Patients | 90 |
| Total drug cost | $14,522 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Icco LLCEugene, OR · 135 clinicians
Hospital affiliations
- Sacred Heart Medical Center - RiverbendSpringfield, OR
- Salem HospitalSalem, OR
Other facilities
- Signature Healthcare at HomeHome health agency · Eugene, OR
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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