Jonathan Wibisono, NP
NPI 1992158653ActiveIndividual· Nurse Practitioner· Beaumont, CA
Nurse Practitioner (NP) in Beaumont, California, licensed in CA, with an NPI issued in July 2016. Part D covered 1,116 prescriptions written in 2024, 79% of them generic.
Overview
| NPI | 1992158653 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | Yes |
| NPI issued | Jul 18, 2016 |
| Last updated in NPPES | Jul 18, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95004343 | CA |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 1,116 · 1,123 30-day fills |
|---|---|
| Patients | 99 |
| Total drug cost | $124,660 |
| Generic share | 79% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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