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NPI 1902057177ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Minneapolis, MN
Nurse Practitioner, Psych/Mental Health in Minneapolis, Minnesota, licensed in MD, with an NPI issued in October 2008. 72 Medicare patients in 2024, $20,195 paid; nearly all of their 168 Part D prescriptions were generic (92%). Abbvie Inc. was the largest of 3 companies reporting payments in 2025, $605.79 in all, mostly food and beverage.
Overview
| NPI | 1902057177 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Oct 7, 2008 |
| Last updated in NPPES | Mar 12, 2026 |
| Certified by provider | Mar 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | R122619 | MD |
| Clinical Nurse Specialist, Psych/Mental Health, Child & Family | 364SP0810X | R122619 | MD |
| Nurse Practitioner, Family | 363LF0000X | R122619 | MD |
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) | Enrolled Practitioner - Nurse Practitioner (DC); Practitioner - Nurse Practitioner (MD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 72 |
|---|---|
| Services billed | 195 across 6 procedure codes |
| Paid by Medicare | $20,195 |
Part D prescriptions in 2024
| Prescriptions (claims) | 168 · 318 30-day fills |
|---|---|
| Patients | 22 |
| Total drug cost | $19,693 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Industry payments (Open Payments)
- 2025$605.79 · 15 payments from 3 companies
- 2024$110.76 · 4 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $317.46 | 10 |
| Axsome Therapeutics, Inc. | $165.78 | 4 |
| Otsuka America Pharmaceutical, Inc. | $122.55 | 1 |
What the 2025 payments were for
- Food and Beverage$605.79 · 15 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 174 psychiatric nurse practitioners in Minneapolis · All psychiatric nurse practitioners in Minnesota