Danielle Besand, FNP-BC
NPI 1932655479ActiveIndividual· Nurse Practitioner, Family· O Fallon, MO
Nurse Practitioner, Family (FNP-BC) with Mercy Clinic East Communities, practicing in O Fallon, Missouri. Their prescriptions cost Medicare Part D more than their services did: $191,686 for 2,023 claims, against $12,448 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 8 companies reporting payments in 2025, $229.44 in all, mostly food and beverage. Lists Mercy Hospital Lincoln and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1932655479 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-BC |
| Sole proprietor | No |
| NPI issued | Aug 25, 2016 |
| Last updated in NPPES | Aug 25, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 2016030299 | MO |
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 (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 78 |
|---|---|
| Services billed | 337 across 29 procedure codes |
| Paid by Medicare | $12,448 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,023 · 4,777 30-day fills |
|---|---|
| Patients | 219 |
| Total drug cost | $191,686 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Mercy Clinic East CommunitiesSaint Louis, MO · 571 clinicians
Hospital affiliations
- Mercy Hospital LincolnTroy, MO
- Mercy Hospital St LouisSaint Louis, MO
- Mercy Hospital WashingtonWashington, MO
Industry payments (Open Payments)
- 2025$229.44 · 14 payments from 8 companies
- 2024$678.93 · 33 payments from 12 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $61.70 | 4 |
| Abbvie Inc. | $58.70 | 3 |
| Organon LLC | $24.61 | 1 |
| Novo Nordisk Inc | $20.56 | 1 |
| Otsuka America Pharmaceutical, Inc. | $18.30 | 1 |
What the 2025 payments were for
- Food and Beverage$229.44 · 14 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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