Kayla Lea Carlsten, PMHNP
NPI 1770169104ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Muscatine, IA
Nurse Practitioner, Psych/Mental Health (PMHNP) with Calamity Rose Ranch LLC, practicing in Muscatine, Iowa. Their prescriptions cost Medicare Part D more than their services did: $71,029 for 488 claims, against $28,257 paid for services in 2024. Teva Pharmaceuticals USA, Inc. was the largest of 11 companies reporting payments in 2025, $983.89 in all, mostly food and beverage.
Overview
| NPI | 1770169104 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PMHNP |
| Sole proprietor | No |
| NPI issued | Mar 24, 2021 |
| Last updated in NPPES | Oct 29, 2025 |
| Certified by provider | Oct 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | G162853 | 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 | 39 |
|---|---|
| Services billed | 352 across 10 procedure codes |
| Paid by Medicare | $28,257 |
Part D prescriptions in 2024
| Prescriptions (claims) | 488 · 514 30-day fills |
|---|---|
| Patients | 36 |
| Total drug cost | $71,029 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Calamity Rose Ranch LLCMuscatine, IA · 3 clinicians
Industry payments (Open Payments)
- 2025$983.89 · 42 payments from 11 companies
- 2024$1,008 · 38 payments from 12 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Teva Pharmaceuticals USA, Inc. | $292.95 | 7 |
| Axsome Therapeutics, Inc. | $168.11 | 4 |
| Otsuka America Pharmaceutical, Inc. | $139.54 | 12 |
| Vanda Pharmaceuticals Inc. | $91.50 | 5 |
| Abbvie Inc. | $75.46 | 3 |
What the 2025 payments were for
- Food and Beverage$889.74 · 40 payments
- Education$94.15 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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