Joan N. Nunoo, AG-PCNP
NPI 1700407426ActiveIndividual· Nurse Practitioner, Primary Care· Fresno, CA
Nurse Practitioner, Primary Care (AG-PCNP) with Jandp Spine Center Inc., practicing in Fresno, California. Their prescriptions cost Medicare Part D more than their services did: $141,233 for 1,923 claims, against $20,069 paid for services in 2024. Medtronic, Inc. was the largest of 7 companies reporting payments in 2025, $1,543 in all, mostly food and beverage. Lists Adventist Health Reedley and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1700407426 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AG-PCNP |
| Sole proprietor | Yes |
| NPI issued | May 4, 2020 |
| Last updated in NPPES | Sep 16, 2021 |
| Certified by provider | Sep 16, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | 95017523 | CA |
| Nurse Practitioner | 363L00000X | 238737 | AZ |
| Nurse Practitioner, Gerontology | 363LG0600X | 95017523 | CA |
| Nurse Practitioner, Primary Care | 363LP2300X | 238737 | AZ |
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 (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 47 |
|---|---|
| Services billed | 997 across 14 procedure codes |
| Paid by Medicare | $20,069 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,923 · 1,960 30-day fills |
|---|---|
| Patients | 110 |
| Total drug cost | $141,233 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Jandp Spine Center Inc.Fresno, CA · 11 clinicians
Hospital affiliations
- Adventist Health ReedleyReedley, CA
- Clovis Community Medical CenterClovis, CA
- Community Regional Medical CenterFresno, CA
Industry payments (Open Payments)
- 2025$1,543 · 34 payments from 7 companies
- 2024$1,500 · 38 payments from 10 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $1,071 | 16 |
| Globus Medical, Inc. | $298.14 | 10 |
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | $65.41 | 3 |
| Vertex Pharmaceuticals Incorporated | $46.27 | 2 |
| Scilex Pharmaceuticals Inc. | $24.14 | 1 |
What the 2025 payments were for
- Food and Beverage$806.44 · 21 payments
- Travel and Lodging$691.41 · 12 payments
- Education$45.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 25 primary care nurse practitioners in Fresno · All primary care nurse practitioners in California