Ally Jo Flesher, FNP
NPI 1891380978ActiveIndividual· Nurse Practitioner· Urbandale, IA
Nurse Practitioner (FNP) in Urbandale, Iowa, licensed in IA, with an NPI issued in March 2021. Their prescriptions cost Medicare Part D more than their services did: $115,994 for 1,132 claims, against $61,504 paid for services in 2024. Astrazeneca Pharmaceuticals LP reported $35.06 in payments in 2025, mostly education.
Overview
| NPI | 1891380978 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Mar 1, 2021 |
| Last updated in NPPES | Dec 20, 2023 |
| Certified by provider | Dec 20, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | A162741 | 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 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 (IA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 454 |
|---|---|
| Services billed | 2,991 across 47 procedure codes |
| Paid by Medicare | $61,504 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,132 · 2,240 30-day fills |
|---|---|
| Patients | 366 |
| Total drug cost | $115,994 |
| Generic share | 86% of claims |
Industry payments (Open Payments)
- 2025$35.06 · 1 payment from 1 company
- 2024$412.90 · 18 payments from 11 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $35.06 | 1 |
What the 2025 payments were for
- Education$35.06 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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