Krista R. Begalske, ARNP
NPI 1881128783ActiveIndividual· Nurse Practitioner· Sumner, IA
Nurse Practitioner (ARNP) with Pathways Behavioral Services Inc and 1 other group, practicing in Sumner, Iowa. Their prescriptions cost Medicare Part D more than their services did: $252,035 for 5,053 claims, against $1,394 paid for services in 2024. Otsuka America Pharmaceutical, Inc. was the largest of 4 companies reporting payments in 2025, $105.39 in all, mostly food and beverage. Lists Allen Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1881128783 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ARNP |
| Sole proprietor | No |
| NPI issued | Apr 18, 2017 |
| Last updated in NPPES | Jul 23, 2020 |
| Certified by provider | Jul 23, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | A134307 | IA |
| Nurse Practitioner, Family | 363LF0000X | A134307 | IA |
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 (IA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 20 |
|---|---|
| Services billed | 47 across 4 procedure codes |
| Paid by Medicare | $1,394 |
Part D prescriptions in 2024
| Prescriptions (claims) | 5,053 · 8,727 30-day fills |
|---|---|
| Patients | 298 |
| Total drug cost | $252,035 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical groups
- Pathways Behavioral Services IncWaverly, IA · 18 clinicians
- Sumner Community ClubSumner, IA · 11 clinicians
Hospital affiliations
- Allen HospitalWaterloo, IA
- Community Memorial Hospital Medical CenterSumner, IA
- Gundersen Palmer Lutheran Hospital and ClinicsWest Union, IA
Other facilities
- Hillcrest HomeNursing home · Sumner, IA
Industry payments (Open Payments)
- 2025$105.39 · 6 payments from 4 companies
- 2024$139.90 · 8 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Otsuka America Pharmaceutical, Inc. | $42.11 | 2 |
| Abbvie Inc. | $30.43 | 2 |
| Axsome Therapeutics, Inc. | $17.36 | 1 |
| Janssen Pharmaceuticals, Inc | $15.49 | 1 |
What the 2025 payments were for
- Food and Beverage$105.39 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records