Raphaele Espina Alaura, MSN, APRN, FNP-C
NPI 1821693037ActiveIndividual· Nurse Practitioner· Las Vegas, NV
Nurse Practitioner (MSN, APRN, FNP-C) with S2 Health PLLC, practicing in Las Vegas, Nevada. Their prescriptions cost Medicare Part D more than their services did: $234,422 for 697 claims, against $81,962 paid for services in 2024. Novartis Pharmaceuticals Corporation was the largest of 2 companies reporting payments in 2025, $610.12 in all, mostly device and supply loans.
Overview
| NPI | 1821693037 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSN, APRN, FNP-C |
| Sole proprietor | No |
| NPI issued | Dec 3, 2020 |
| Last updated in NPPES | May 14, 2025 |
| Certified by provider | May 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 836441 | NV |
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 (NV) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 461 |
|---|---|
| Services billed | 4,335 across 75 procedure codes |
| Paid by Medicare | $81,962 |
Part D prescriptions in 2024
| Prescriptions (claims) | 697 · 1,137 30-day fills |
|---|---|
| Patients | 174 |
| Total drug cost | $234,422 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- S2 Health PLLCLas Vegas, NV · 2 clinicians
Other facilities
- Accord Home Health, IncHome health agency · Henderson, NV
- Carepro Home Healthcare ServicesHome health agency · Las Vegas, NV
- Caring One Home HealthHome health agency · Las Vegas, NV
- Deltaplus Home Healthcare LLCHome health agency · Las Vegas, NV
- Onecare Home Health CareHome health agency · Las Vegas, NV
Industry payments (Open Payments)
- 2025$610.12 · 10 payments from 2 companies
- 2024$2,326 · 90 payments from 22 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novartis Pharmaceuticals Corporation | $571.61 | 8 |
| Celgene Corporation | $38.51 | 2 |
What the 2025 payments were for
- Long term medical supply or device loan$482.13 · 5 payments
- Food and Beverage$127.99 · 5 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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