Sheena Lee Kremer, NP
NPI 1689158669ActiveIndividual· Nurse Practitioner· Evansdale, IA
Nurse Practitioner (NP) with Covenant Medical Center Inc and 1 other group, practicing in Evansdale, Iowa. Their prescriptions cost Medicare Part D more than their services did: $119,826 for 1,162 claims, against $5,519 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 16 companies reporting payments in 2025, $1,069 in all, mostly food and beverage. Lists Mercyone Waterloo Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1689158669 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Sep 17, 2018 |
| Last updated in NPPES | Sep 15, 2026 |
| Certified by provider | Sep 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | A129197 | 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 (IA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 68 |
|---|---|
| Services billed | 136 across 12 procedure codes |
| Paid by Medicare | $5,519 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,162 · 2,009 30-day fills |
|---|---|
| Patients | 214 |
| Total drug cost | $119,826 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Covenant Medical Center IncWaterloo, IA · 235 clinicians
- Palmer Lutheran Health Center IncWest Union, IA · 37 clinicians
Hospital affiliations
- Mercyone Waterloo Medical CenterWaterloo, IA
- Sartori Memorial Hospital, IncCedar Falls, IA
Other facilities
- Cedar Valley HospiceHospice · Waterloo, IA
Industry payments (Open Payments)
- 2025$1,069 · 58 payments from 16 companies
- 2024$889.17 · 58 payments from 18 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $135.71 | 9 |
| Novo Nordisk Inc | $135.58 | 9 |
| Abbvie Inc. | $102.95 | 5 |
| Pfizer Inc. | $94.84 | 4 |
| Bayer Healthcare Pharmaceuticals Inc. | $81.85 | 3 |
What the 2025 payments were for
- Food and Beverage$1,069 · 58 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other nurse practitioners in Evansdale
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