Cynthia Mesneak Fullbright, ARNP
NPI 1598858268ActiveIndividual· Nurse Practitioner, Adult Health· Plano, TX
Nurse Practitioner, Adult Health (ARNP) with Healthtexas Provider Network, practicing in Plano, Texas. Their prescriptions cost Medicare Part D more than their services did: $432,472 for 2,328 claims, against $96,978 paid for services in 2024. Amgen Inc. was the largest of 13 companies reporting payments in 2025, $1,512 in all, mostly food and beverage. Lists Baylor Scott & White Medical Center Plano and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1598858268 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ARNP |
| Sole proprietor | No |
| NPI issued | Oct 2, 2006 |
| Last updated in NPPES | Sep 21, 2022 |
| Certified by provider | Sep 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | 111682 | IA |
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 (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 733 |
|---|---|
| Services billed | 2,483 across 22 procedure codes |
| Paid by Medicare | $96,978 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,328 · 6,017 30-day fills |
|---|---|
| Patients | 637 |
| Total drug cost | $432,472 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Healthtexas Provider NetworkWaxahachie, TX · 2,697 clinicians
Hospital affiliations
Industry payments (Open Payments)
- 2025$1,512 · 60 payments from 13 companies
- 2024$1,345 · 51 payments from 17 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Amgen Inc. | $293.17 | 19 |
| E.R. Squibb & Sons, L.L.C. | $245.27 | 12 |
| Merck Sharp & Dohme LLC | $185.15 | 8 |
| Inspire Medical Systems, Inc. | $137.71 | 2 |
| Astrazeneca Pharmaceuticals LP | $135.93 | 2 |
What the 2025 payments were for
- Food and Beverage$1,512 · 60 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 35 adult health nurse practitioners in Plano · All adult health nurse practitioners in Texas