2026 NPPES data Family Nurse Practitioner NPI 1184050767 ARNP
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Alexandra Gabriel, ARNP

Family Nurse Practitioner in Palm Coast, Florida.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 210,832 in Family 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
3K
Medicare Part D claims · 456 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
87%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
67/100
▼ 17 pts below national avg 83.5 · Mid-tier
Industry payments
$359.22
20 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Alexandra Gabriel, ARNP reported a CMS MIPS final score of 67/100 - below the 83.5 national average - and filed 3,266 Medicare Part D claims in 2023.

67/100
MIPS score · -17 vs avg
3K
Part D claims, 2023
87%
generic prescribing
$359.22
industry payments (Sunshine Act)

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.

CMS NPPES provider registry desk

NPI 1184050767 · Family Nurse Practitioner

NPI-10 · ENUM-MID · TAX-MEGA · MIPS-LOW · RX-MID · BOOK-MID · PHOTO-FINISH

  • NPI-10 1184050767
  • ENUM-MID 2013
  • TAX-MEGA 211K Family Nurse
  • MIPS-LOW 67/100
  • RX-MID 3,266
  • BOOK-MID 20,572 in Florida
  • PHOTO-FINISH Rebecca Jacobson · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Alexandra Gabriel, ARNP's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

67 ≥ 7th percentile 7% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). This entry sits in this band. 70–80: 94,570 measured providers (21%). Above this entry. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

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

Where Alexandra Gabriel, ARNP sits

This provider among family nurse practitioner peers

Across the 26,556 family nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Alexandra Gabriel, ARNP writes more Part D claims than 89% of them and scores higher on MIPS quality than 6% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100022.344.666.989.3Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 78Alexandra Gabriel, ARNP, Part D claim volume, percentile in specialty: 89 · MIPS quality, percentile: 6
Part D claim volume vs MIPS quality, by specialty percentile

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

What does the federal data show about Alexandra Gabriel, ARNP?

Below national average

NPI registry status

Active

Issued 09/16/2013

NPI 1184050767

Primary specialty

Family Nurse Practitioner

High-volume

210,832 US NPIs in this specialty

Medicare Part D claims

3,266 167% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

MIPS final score

67/100 16.5 pts vs avg

Mid-tier band

vs 83.5 national avg

Specialty distribution in Florida

How Family Nurse Practitioner compares to other specialties among Florida providers

Florida providers
Behavior Technician16.1%Mental Health Counselor4.8%Family Nurse Practitioner4.5%Pharmacist4.2%Student in an Organized Heal…3.8%Physical Therapist3.1%
Largest specialties in Florida (% of in-state providers)

Medicare quality performance, MIPS

Alexandra Gabriel, ARNP's 2023 MIPS final score plotted against the Family Nurse Practitioner national average

Below national average
MIPS Final Score
67/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%67%
MIPS final score (Family Nurse Practitioner) - 67/100 vs national avg 83.5
How MIPS and board certification work

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).

Practice Address

120 CYPRESS EDGE DRIVE
Palm Coast, FL 32164

Provider Details

NPI 1184050767
Specialty Family Nurse Practitioner
Credentials ARNP
Gender Female
NPI Issued 09/16/2013

CMS Quality Score (MIPS)

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

66.9924
Final Score
Measured-score avg: 83.5
67.2192
Quality
47.7555
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Alexandra Gabriel, ARNP 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.

Adventhealth Primary Care Network Inc
Altamonte Springs, FL

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

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Alexandra Gabriel, ARNP. Source: openpaymentsdata.cms.gov.

Total received

$359

Largest payer

Novo Nordisk Inc

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context - Florida FLDOH 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 ~75K Florida medical licensees in 2023 - they are NOT specific to Alexandra Gabriel, ARNP. To verify Alexandra Gabriel, ARNP's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Alexandra Gabriel, ARNP - brand share 12.0%
Family Nurse Practitioner average

12% brand-name claims vs 87% generic, on 3,266 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

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

3,266
Total Claims
$263K
Total Drug Cost
456
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
7,469
Total Day Supply
218,234
Brand vs Generic
12% brand / 87% generic
Brand Drug Cost
$205K
Generic Drug Cost
$56K
Opioid Claims
12 (0.4% rate)
Antibiotic Claims
73

Patient Demographics

Average Patient Age
71.1 years
Avg HCC Risk Score
1.13
Gender Split
71% female / 29% male
Age Distribution
<65: 60, 65-74: 244, 75-84: 134, 85+: 18

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Alexandra Gabriel, ARNP prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Atorvastatin Calcium
235
Levothyroxine Sodium
178
Lisinopril
158
Metformin Hcl
143
Losartan Potassium
136
Amlodipine Besylate
133
Gabapentin
75
Pantoprazole Sodium
69
Rosuvastatin Calcium
68
Omeprazole
67

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Family Nurse Practitioner Overview

How Alexandra Gabriel, ARNP fits within the Family Nurse Practitioner landscape nationally.

210,832
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider

Alexandra Gabriel, ARNP's 3,266 claims are above the specialty average of 1,222.

Nationwide Family Nurse Practitioner peers with similar MIPS or enrollment year

Two federal-record peer sets for Gabriel, both outside Florida so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (67 here).

Same NPPES enumeration year (2013)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Family Nurse Practitioner Providers in Florida

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

One of 20,572 Family Nurse Practitioner providers enrolled in Florida, 5 are shown here.

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

Frequently Asked Questions

What is Alexandra Gabriel, ARNP's specialty?
Alexandra Gabriel, ARNP specializes in Family Nurse Practitioner and practices in Palm Coast, Florida. Credentials: ARNP.
How much does Alexandra Gabriel, ARNP prescribe under Medicare Part D?
In 2023, Alexandra Gabriel, ARNP wrote 3,266 Medicare Part D claims totaling $263K in drug costs for 456 beneficiaries.
What is Alexandra Gabriel, ARNP's Medicare quality score?
Alexandra Gabriel, ARNP has a CMS MIPS Final Score of 67/100 (Quality: 67.2, Cost: 47.8). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Alexandra Gabriel, ARNP located?
Alexandra Gabriel, ARNP is located at 120 CYPRESS EDGE DRIVE, Palm Coast, FL, 32164. Phone: (386) 586-4280.
What is Alexandra Gabriel, ARNP's NPI number?
Alexandra Gabriel, ARNP's National Provider Identifier (NPI) is 1184050767, issued on 09/16/2013.
Does Alexandra Gabriel, ARNP prescribe more brand-name or generic drugs?
Alexandra Gabriel, ARNP's prescribing is 12% brand-name and 87% generic drugs by claim count, with $205K in brand drug costs.
Does Alexandra Gabriel, ARNP prescribe opioids?
Yes, Alexandra Gabriel, ARNP had 12 opioid claims in 2023 with an opioid prescribing rate of 0.4%.
How many Family Nurse Practitioner providers are there in the US?
There are 210,832 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,222 Medicare Part D claims per year.
What drugs does Alexandra Gabriel, ARNP prescribe most often?
Based on 2023 Medicare Part D data, Alexandra Gabriel, ARNP's most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Alexandra Gabriel, ARNP accept Medicare?
Alexandra Gabriel, ARNP appears in CMS Medicare data with 3,266 Part D claims and 456 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Alexandra Gabriel, ARNP's credentials?
Alexandra Gabriel, ARNP's NPI is 1184050767 with credentials ARNP. 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

View source datasets and methodology notes
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

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.