Tonya Lynn Puski, RN, ARNP
NPI 1518021955ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Johnston, IA
Nurse Practitioner, Psych/Mental Health (RN, ARNP) with Guided Ascent, practicing in Johnston, Iowa. Part D covered 12 prescriptions written in 2024. Otsuka America Pharmaceutical, Inc. was the largest of 9 companies reporting payments in 2025, $401.44 in all, mostly food and beverage.
Overview
| NPI | 1518021955 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RN, ARNP |
| Sole proprietor | No |
| NPI issued | Dec 20, 2006 |
| Last updated in NPPES | Aug 18, 2026 |
| Certified by provider | Aug 18, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | G117104 | IA |
| Registered Nurse, Psych/Mental Health | 163WP0808X | 041-345988 | IL |
| Clinical Nurse Specialist, Psych/Mental Health | 364SP0808X | G-117104 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 12 · 12 30-day fills |
|---|---|
| Total drug cost | $225.01 |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Guided AscentJohnston, IA · 6 clinicians
Industry payments (Open Payments)
- 2025$401.44 · 18 payments from 9 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Otsuka America Pharmaceutical, Inc. | $142.64 | 6 |
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $65.48 | 3 |
| E.R. Squibb & Sons, L.L.C. | $40.09 | 2 |
| Axsome Therapeutics, Inc. | $35.51 | 1 |
| Janssen Pharmaceuticals, Inc | $33.71 | 2 |
What the 2025 payments were for
- Food and Beverage$401.44 · 18 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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