ALEXIS FIRMAN, ARNP appears in the CMS NPPES registry as a Adult Health Nurse Practitioner provider holding ARNP credentials at 888 SWIFT BLVD, RICHLAND, WA, 99352, with a listed phone of (509) 946-4611. NPI 1124529565 was issued on 02/21/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FIRMAN 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 697 prescription claims written by this provider, covering 187 Medicare beneficiaries and totaling roughly $1.7 million in drug spend, split 22% brand-name and 78% generic by claim count, with an opioid prescribing rate of 3.3%. 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 83.0533/100 for the 2023 performance year (Quality 76.4787, Cost 67.0324), compared with the national average of 83.1.

Adult Health Nurse Practitioner is a mid-sized specialty nationwide, with 29,492 enrolled providers across 55 states and an average of 1,201 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.