Kidan Kidane
NPI 1831944107ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Tarrytown, NY
Nurse Practitioner, Psych/Mental Health in Tarrytown, New York, licensed in NY, with an NPI issued in April 2024. Part D covered 165 prescriptions written in 2024, 96% of them generic.
Overview
| NPI | 1831944107 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 20, 2024 |
| Last updated in NPPES | May 19, 2026 |
| Certified by provider | May 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | F406239 | NY |
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 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 165 · 165 30-day fills |
|---|---|
| Patients | 30 |
| Total drug cost | $12,652 |
| Generic share | 96% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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