Desiree Guino-O Ang, ARNP
NPI 1780667568ActiveIndividual· Nurse Practitioner, Family· Richland, WA
Nurse Practitioner, Family (ARNP) with Apex Spine Institute, practicing in Richland, Washington. 604 Medicare patients in 2024, $101,050 paid; nearly all of their 1,626 Part D prescriptions were generic (95%). Biotronik Nro, Inc. was the largest of 2 companies reporting payments in 2025, $47.79 in all, mostly food and beverage.
Overview
| NPI | 1780667568 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ARNP |
| Sole proprietor | No |
| NPI issued | Nov 25, 2005 |
| Last updated in NPPES | Apr 5, 2021 |
| Certified by provider | Apr 5, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | AP30004134 | WA |
| Nurse Practitioner, Family | 363LF0000X | 21886 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 604 |
|---|---|
| Services billed | 2,144 across 41 procedure codes |
| Paid by Medicare | $101,050 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,626 · 1,671 30-day fills |
|---|---|
| Patients | 597 |
| Total drug cost | $34,882 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 1995 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Apex Spine InstituteRichland, WA · 10 clinicians
Industry payments (Open Payments)
- 2025$47.79 · 3 payments from 2 companies
- 2024$213.75 · 9 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Biotronik Nro, Inc. | $31.63 | 2 |
| Collegium Pharmaceutical, Inc. | $16.16 | 1 |
What the 2025 payments were for
- Food and Beverage$47.79 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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