Alexandria Lightning, A.P.R.N.
Opted out of Medicare from October 2026 to October 2028. Nurse Practitioner, Primary Care (A.P.R.N.) in Henderson, Nevada, licensed in NV, IN and CA, with an NPI issued in December 2014. Part D covered 58 prescriptions written in 2024, 93% of them generic. Lilly USA, LLC was the largest of 3 companies reporting payments in 2025, $57.95 in all, mostly food and beverage.
Overview
| NPI | 1780072868 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | A.P.R.N. |
| Sole proprietor | No |
| NPI issued | Dec 24, 2014 |
| Last updated in NPPES | Aug 6, 2021 |
| Certified by provider | Aug 6, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | 831710 | NV |
| Registered Nurse | 163W00000X | 28203283A | IN |
| Nurse Practitioner, Family | 363LF0000X | 28203283A | IN |
| Nurse Practitioner, Family | 363LF0000X | 95008353 | CA |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Oct 1, 2026 – Oct 1, 2028 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 58 · 72 30-day fills |
|---|---|
| Patients | 13 |
| Total drug cost | $1,353 |
| Generic share | 93% of claims |
Industry payments (Open Payments)
- 2025$57.95 · 3 payments from 3 companies
- 2024$119.26 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $27.00 | 1 |
| Takeda Pharmaceuticals U.S.A., Inc. | $15.49 | 1 |
| Neurocrine Biosciences, Inc. | $15.46 | 1 |
What the 2025 payments were for
- Food and Beverage$57.95 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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