Ian Pedregosa Dy
NPI 1780288852ActiveIndividual· Nurse Practitioner, Family· Phoenix, AZ
Nurse Practitioner, Family with Mind 247 Practice LLC, practicing in Phoenix, Arizona. 12 Medicare patients in 2024, $1,198 paid; nearly all of their 82 Part D prescriptions were generic (99%). Alkermes, Inc. reported $24.90 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1780288852 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Nov 30, 2020 |
| Last updated in NPPES | Apr 8, 2024 |
| Certified by provider | Apr 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 250388 | AZ |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | 250388 | AZ |
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 (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 17 across 3 procedure codes |
| Paid by Medicare | $1,198 |
Part D prescriptions in 2024
| Prescriptions (claims) | 82 · 89 30-day fills |
|---|---|
| Patients | 17 |
| Total drug cost | $1,026 |
| Generic share | 99% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Mind 247 Practice LLCMesa, AZ · 32 clinicians
Industry payments (Open Payments)
- 2024$24.90 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Alkermes, Inc. | $24.90 | 1 |
What the 2024 payments were for
- Food and Beverage$24.90 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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