2026 NPPES data Nurse Practitioner NPI 1083370357 NP
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Alexandra Bourland, NP

Nurse Practitioner in San Antonio, Texas. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 87,227 in Nurse Practitioner, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
225
Medicare Part D claims · 106 beneficiaries · Nurse Practitioner avg: 1K
MIPS score
75/100
▼ 8 pts below national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Alexandra Bourland, NP reported a CMS MIPS final score of 75/100 - below the 83.1 national average - and filed 225 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
225
Part D claims, 2023

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Alexandra Bourland, NP's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

75 15th percentile higher than 15% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Alexandra Bourland, NP sits

This provider among nurse practitioner peers

Across the 13,476 nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Alexandra Bourland, NP writes more Part D claims than 37% of them and scores higher on MIPS quality than 14% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.148.372.496.6Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 45Alexandra Bourland, NP-Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 14
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one nurse practitioner peer from a representative sample of 60; the gold marker is Alexandra Bourland, NP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Alexandra Bourland, NP?

Below national average

NPI registry status

Active

Issued 11/11/2021

NPI 1083370357

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

225 79% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

75/100 8.1 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Texas

How Nurse Practitioner compares to other specialties among Texas providers

Texas providers

Largest specialties in Texas (% of in-state providers)

Behavior Technician - 5.6%Behavior Technician5.6%Student in an Organized Health Care Education/Training Program - 5.1%Student in an Organized Health Care Education/Training Program5.1%Family Nurse Practitioner - 4.5%Family Nurse Practitioner4.5%Professional Counselor - 4.4%Professional Counselor4.4%Pharmacist - 4.4%Pharmacist4.4%Speech-Language Pathologist - 3.9%Speech-Language Pathologist3.9%Nurse Practitioner - 1.2%Nurse Practitioner1.2%
Largest specialties in Texas (% of in-state providers)

Medicare quality performance, MIPS

Alexandra Bourland, NP's 2023 MIPS final score plotted against the Nurse Practitioner national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) - 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Nurse Practitioner) - 75/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Alexandra Bourland, NP appears in the CMS NPPES registry as a Nurse Practitioner provider holding NP credentials at 7700 FLOYD CURL DR, San Antonio, TX, 78229, with a listed phone of (210) 575-4000. NPI 1083370357 was issued on 11/11/2021. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Bourland most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 225 prescription claims written by this provider, covering 106 Medicare beneficiaries and totaling roughly $15K in drug spend. These figures capture only Medicare Part D, commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75/100 for the 2023 performance year, compared with the national average of 83.1.

Nurse Practitioner is a high-volume specialty nationwide, with 87,227 enrolled providers across 56 states and an average of 1,084 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

7700 FLOYD CURL DR
San Antonio, TX 78229

Provider Details

NPI 1083370357
Specialty Nurse Practitioner
Credentials NP
Gender Female
NPI Issued 11/11/2021

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

75
Final Score
Avg: 83.1

Reporting: Group practice

Hospital and facility affiliations

Facilities where Alexandra Bourland, NP bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Usacs Integrated Acute Care Services OF Texas, PLLC
Kerrville, TX

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context - Texas TMB 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 - they are NOT specific to Alexandra Bourland, NP. To verify Alexandra Bourland, NP's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

225
Total Claims
$15K
Total Drug Cost
106
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
238
Total Day Supply
5,358
Generic Drug Cost
$3K
Antibiotic Claims
49

Patient Demographics

Average Patient Age
70.5 years
Avg HCC Risk Score
3.67
Gender Split
54% female / 46% male
Age Distribution
<65: 25, 65-74: 44, 75-84: 25, 85+: 12

Nurse Practitioner Overview

How Alexandra Bourland, NP fits within the Nurse Practitioner landscape nationally.

87,227
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,084
Avg Claims per Provider

Alexandra Bourland, NP's 225 claims are below the specialty average of 1,084.

Nearby Nurse Practitioner Providers in Texas

Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Bourland.

Compare Nurse Practitioner nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Texas medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Nurse Practitioner peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Alexandra Bourland, NP's specialty?
Alexandra Bourland, NP specializes in Nurse Practitioner and practices in San Antonio, Texas. Credentials: NP.
How much does Alexandra Bourland, NP prescribe under Medicare Part D?
In 2023, Alexandra Bourland, NP wrote 225 Medicare Part D claims totaling $15K in drug costs for 106 beneficiaries.
What is Alexandra Bourland, NP's Medicare quality score?
Alexandra Bourland, NP has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Alexandra Bourland, NP located?
Alexandra Bourland, NP is located at 7700 FLOYD CURL DR, San Antonio, TX, 78229. Phone: (210) 575-4000.
What is Alexandra Bourland, NP's NPI number?
Alexandra Bourland, NP's National Provider Identifier (NPI) is 1083370357, issued on 11/11/2021.
How many Nurse Practitioner providers are there in the US?
There are 87,227 Nurse Practitioner providers across 56 states in the US. The average Nurse Practitioner provider writes 1,084 Medicare Part D claims per year.
Does Alexandra Bourland, NP accept Medicare?
Alexandra Bourland, NP appears in CMS Medicare data with 225 Part D claims and 106 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Alexandra Bourland, NP's credentials?
Alexandra Bourland, NP's NPI is 1083370357 with credentials NP. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the PlainDoctor editorial team.