Rhyan Lyndsey Tosti, DNP, APRN, AGNP-C
NPI 1497504005ActiveIndividual· Nurse Practitioner, Adult Health· Phoenix, AZ
Nurse Practitioner, Adult Health (DNP, APRN, AGNP-C) with Sjhmc Physician Services, practicing in Phoenix, Arizona. Their prescriptions cost Medicare Part D more than their services did: $28,336 for 156 claims, against $10,162 paid for services in 2024. Getinge USA Sales, LLC was the largest of 7 companies reporting payments in 2025, $1,534 in all, mostly food and beverage. Lists St Josephs Hospital and Medical Center as a hospital affiliation.
Overview
| NPI | 1497504005 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DNP, APRN, AGNP-C |
| Sole proprietor | No |
| NPI issued | May 15, 2024 |
| Last updated in NPPES | Oct 15, 2026 |
| Certified by provider | Oct 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | 307366 | AZ |
| Nurse Practitioner, Primary Care | 363LP2300X | 307366 | AZ |
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 (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 94 |
|---|---|
| Services billed | 153 across 10 procedure codes |
| Paid by Medicare | $10,162 |
Part D prescriptions in 2024
| Prescriptions (claims) | 156 · 378 30-day fills |
|---|---|
| Patients | 68 |
| Total drug cost | $28,336 |
| Generic share | 83% of claims |
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Sjhmc Physician ServicesGilbert, AZ · 646 clinicians
Hospital affiliation
- St Josephs Hospital and Medical CenterPhoenix, AZ
Industry payments (Open Payments)
- 2025$1,534 · 12 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Getinge USA Sales, LLC | $881.02 | 4 |
| Zimmer Biomet Holdings, Inc. | $163.29 | 3 |
| Astrazeneca Pharmaceuticals LP | $120.83 | 1 |
| Merck Sharp & Dohme LLC | $118.94 | 1 |
| Kestra Medical Technology Services, Inc. | $118.67 | 1 |
What the 2025 payments were for
- Food and Beverage$786.81 · 11 payments
- Travel and Lodging$746.97 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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