Mara Iaconi, ANP-C
NPI 1528333481ActiveIndividual· Nurse Practitioner· Santa Rosa, CA
Nurse Practitioner (ANP-C) in Santa Rosa, California, licensed in CA, with an NPI issued in March 2012. Bioventus LLC reported $27.77 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1528333481 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ANP-C |
| Sole proprietor | Yes |
| NPI issued | Mar 12, 2012 |
| Last updated in NPPES | Apr 20, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 21667 | CA |
| Registered Nurse | 163W00000X | 807299 | CA |
| Nurse Practitioner, Adult Health | 363LA2200X | 21667 | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
- 2025$27.77 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Bioventus LLC | $27.77 | 1 |
What the 2025 payments were for
- Food and Beverage$27.77 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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