Elizabeth Anne Symanski, NP
NPI 1538471222ActiveIndividual· Nurse Practitioner, Family· Santa Ana, CA
Nurse Practitioner, Family (NP) with Monica Perlman MD Inc, practicing in Santa Ana, California. Their prescriptions cost Medicare Part D more than their services did: $144,452 for 1,809 claims, against $14,438 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 10 companies reporting payments in 2025, $657.24 in all, mostly food and beverage.
Overview
| NPI | 1538471222 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | Yes |
| NPI issued | Jul 9, 2010 |
| Last updated in NPPES | Nov 2, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 95007626 | CA |
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 (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 80 |
|---|---|
| Services billed | 272 across 23 procedure codes |
| Paid by Medicare | $14,438 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,809 · 3,947 30-day fills |
|---|---|
| Patients | 315 |
| Total drug cost | $144,452 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Monica Perlman MD IncSan Diego, CA · 364 clinicians
Industry payments (Open Payments)
- 2025$657.24 · 18 payments from 10 companies
- 2024$322.85 · 11 payments from 9 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $184.24 | 5 |
| Gilead Sciences, Inc. | $126.38 | 1 |
| Phadia US Inc. | $94.03 | 1 |
| Hologic Sales and Service, LLC | $64.05 | 3 |
| Glaxosmithkline, LLC. | $58.85 | 2 |
What the 2025 payments were for
- Food and Beverage$657.24 · 18 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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