Breanna Marie Garcia Talbert, AGNP
NPI 1992428643ActiveIndividual· Nurse Practitioner, Adult Health· Cedar Rapids, IA
Nurse Practitioner, Adult Health (AGNP) with Mercy Medical Center, practicing in Cedar Rapids, Iowa. Their prescriptions cost Medicare Part D more than their services did: $62,307 for 452 claims, against $23,240 paid for services in 2024. Janssen Biotech, Inc. was the largest of 17 companies reporting payments in 2025, $1,273 in all, mostly food and beverage. Lists Mercy Medical Center - Cedar Rapids as a hospital affiliation.
Overview
| NPI | 1992428643 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AGNP |
| Sole proprietor | Yes |
| NPI issued | Sep 19, 2022 |
| Last updated in NPPES | Aug 3, 2023 |
| Certified by provider | Aug 3, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | J170678 | IA |
| Nurse Practitioner, Adult Health | 363LA2200X | H170678 | IA |
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 (IA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 209 |
|---|---|
| Services billed | 301 across 11 procedure codes |
| Paid by Medicare | $23,240 |
Part D prescriptions in 2024
| Prescriptions (claims) | 452 · 1,041 30-day fills |
|---|---|
| Patients | 183 |
| Total drug cost | $62,307 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Mercy Medical CenterCedar Rapids, IA · 305 clinicians
Hospital affiliation
- Mercy Medical Center - Cedar RapidsCedar Rapids, IA
Industry payments (Open Payments)
- 2025$1,273 · 63 payments from 17 companies
- 2024$531.95 · 28 payments from 14 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Janssen Biotech, Inc. | $265.48 | 8 |
| Abbvie Inc. | $232.43 | 15 |
| Takeda Pharmaceuticals U.S.A., Inc. | $184.65 | 10 |
| Celltrion USA Inc. | $90.40 | 5 |
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | $81.41 | 4 |
What the 2025 payments were for
- Food and Beverage$1,273 · 63 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 15 adult health nurse practitioners in Cedar Rapids · All adult health nurse practitioners in Iowa