Cheryl Raye Ledesma, RN, MSN, FNP-BC
NPI 1972857340ActiveIndividual· Nurse Practitioner, Family· Rochester, MI
Nurse Practitioner, Family (RN, MSN, FNP-BC) with Powerback Rehabilitation LLC and 1 other group, practicing in Rochester, Michigan. Their prescriptions cost Medicare Part D more than their services did: $155,875 for 2,376 claims, against $13,156 paid for services in 2024. Alexion Pharmaceuticals, Inc. was the largest of 3 companies reporting payments in 2025, $242.83 in all, mostly food and beverage. Lists Beaumont Hospital Royal Oak and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1972857340 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RN, MSN, FNP-BC |
| Sole proprietor | Yes |
| NPI issued | Nov 6, 2012 |
| Last updated in NPPES | Nov 6, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 4704242332 | MI |
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 (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 104 |
|---|---|
| Services billed | 324 across 29 procedure codes |
| Paid by Medicare | $13,156 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,376 · 5,629 30-day fills |
|---|---|
| Patients | 323 |
| Total drug cost | $155,875 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Powerback Rehabilitation LLCJackson, MI · 649 clinicians
- Orion Family Physicians PCLake Orion, MI · 11 clinicians
Hospital affiliations
- Beaumont Hospital Royal OakRoyal Oak, MI
- Beaumont Hospital, TroyTroy, MI
- Trinity Health Oakland HospitalPontiac, MI
Industry payments (Open Payments)
- 2025$242.83 · 3 payments from 3 companies
- 2024$187.55 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Alexion Pharmaceuticals, Inc. | $115.92 | 1 |
| Eisai Inc. | $93.70 | 1 |
| Axsome Therapeutics, Inc. | $33.21 | 1 |
What the 2025 payments were for
- Food and Beverage$242.83 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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