Sandra Janell Spiers, NP
NPI 1518167949ActiveIndividual· Nurse Practitioner· Picayune, MS
Nurse Practitioner (NP) in Picayune, Mississippi, licensed in MS and LA, with an NPI issued in July 2007. Their prescriptions cost Medicare Part D more than their services did: $41,207 for 1,968 claims, against $5,622 paid for services in 2024. Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) was the largest of 7 companies reporting payments in 2025, $211.60 in all, mostly food and beverage.
Overview
| NPI | 1518167949 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | Yes |
| NPI issued | Jul 24, 2007 |
| Last updated in NPPES | Mar 2, 2023 |
| Certified by provider | Mar 2, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | R836775 | MS |
| Clinic/Center | 261Q00000X | — | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | AP06825 | LA |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | R836775 | MS |
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 (LA); Practitioner - Nurse Practitioner (MS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 29 |
|---|---|
| Services billed | 120 across 2 procedure codes |
| Paid by Medicare | $5,622 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,968 · 2,316 30-day fills |
|---|---|
| Patients | 76 |
| Total drug cost | $41,207 |
| Generic share | 99% of claims |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Industry payments (Open Payments)
- 2025$211.60 · 12 payments from 7 companies
- 2024$165.21 · 10 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $66.74 | 3 |
| Lundbeck LLC | $41.82 | 3 |
| Abbvie Inc. | $29.41 | 2 |
| Idorsia Pharmaceuticals US Inc | $21.46 | 1 |
| Noven Therapeutics, LLC | $18.38 | 1 |
What the 2025 payments were for
- Food and Beverage$211.60 · 12 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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