Shannon Kae Letsche, A.R.N.P.
NPI 1639332356ActiveIndividual· Nurse Practitioner, Family· Storm Lake, IA
Nurse Practitioner, Family (A.R.N.P.) with Floyd Valley Healthcare, practicing in Storm Lake, Iowa. Their prescriptions cost Medicare Part D more than their services did: $186,725 for 2,449 claims, against $31,882 paid for services in 2024. Lilly USA, LLC reported $20.68 in payments in 2025, mostly food and beverage. Lists Cherokee Regional Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1639332356 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | A.R.N.P. |
| Sole proprietor | No |
| NPI issued | Jul 2, 2008 |
| Last updated in NPPES | Apr 9, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 105988 | 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 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 (IA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 125 |
|---|---|
| Services billed | 719 across 39 procedure codes |
| Paid by Medicare | $31,882 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,449 · 4,176 30-day fills |
|---|---|
| Patients | 149 |
| Total drug cost | $186,725 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Floyd Valley HealthcareLe Mars, IA · 38 clinicians
Hospital affiliations
- Cherokee Regional Medical CenterCherokee, IA
- Floyd Valley HealthcareLe Mars, IA
Industry payments (Open Payments)
- 2025$20.68 · 1 payment from 1 company
- 2024$29.40 · 2 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $20.68 | 1 |
What the 2025 payments were for
- Food and Beverage$20.68 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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