2026 NPPES data Community Health Registered Nurse NPI 1366831935 FNP-C
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Amanda Guettler, FNP-C

Community Health Registered Nurse in Eufaula, Alabama.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 7,593 in Community Health Registered Nurse, 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
5K
Medicare Part D claims · 452 beneficiaries · Community Health Registered Nurse avg: 918
Generic prescribing
82%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
89.8/100
▲ 6 pts above national avg 83.5 · Exceptional
Industry payments
$833.92
31 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Amanda Guettler, FNP-C reported a CMS MIPS final score of 89.8/100 - above the 83.5 national average - and filed 5,033 Medicare Part D claims in 2023.

89.8/100
MIPS score · +6 vs avg
5K
Part D claims, 2023
82%
generic prescribing
$833.92
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.

Amanda Guettler, FNP-C'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.

90 ≥ 56th percentile 56% 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%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). This entry sits in this band. 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 Amanda Guettler, FNP-C sits

This provider among community health registered nurse peers

Across the 20 community health registered nurse providers who report both Medicare Part D prescribing and a MIPS quality score, Amanda Guettler, FNP-C writes more Part D claims than 95% of them and scores higher on MIPS quality than 60% - placing this provider in the high-volume, high-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 quality024.949.974.899.80255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 74Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 84 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 79Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 21Point, Part D claim volume, percentile in specialty: 26 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 89 · MIPS quality, percentile: 16Point, Part D claim volume, percentile in specialty: 16 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 79 · MIPS quality, percentile: 11Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 100Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 26Point, Part D claim volume, percentile in specialty: 21 · MIPS quality, percentile: 89Point, Part D claim volume, percentile in specialty: 74 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 84Point, Part D claim volume, percentile in specialty: 11 · MIPS quality, percentile: 42Amanda Guettler, FNP-C, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 60
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one community health registered nurse peer from a representative sample of 19; the gold marker is Amanda Guettler, FNP-C. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Amanda Guettler, FNP-C?

High performer (top quartile)

NPI registry status

Active

Issued 01/20/2015

NPI 1366831935

Primary specialty

Community Health Registered Nurse

Mid-sized

7,593 US NPIs in this specialty

Medicare Part D claims

5,033 vs specialty avg

2023 prescription claims

Specialty avg: 918

MIPS final score

89.8/100 6.3 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in Alabama

How Community Health Registered Nurse compares to other specialties among Alabama providers

Alabama providers
Student in an Organized Heal…8.1%Pharmacist6.7%Family Nurse Practitioner5.9%Behavior Technician4.4%Physical Therapist4.2%Mental Health Counselor3.3%Community Health Registered …0%
Largest specialties in Alabama (% of in-state providers)

Medicare quality performance, MIPS

Amanda Guettler, FNP-C's 2023 MIPS final score plotted against the Community Health Registered Nurse national average

High performer (top quartile)
MIPS Final Score
89.8/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%89.8%
MIPS final score (Community Health Registered Nurse) - 89.8/100 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).

Amanda Guettler, FNP-C appears in the CMS NPPES registry as a Community Health Registered Nurse provider holding FNP-C credentials at 825 W WASHINGTON ST STE 7, Eufaula, AL, 36027, with a listed phone of (334) 688-7410. NPI 1366831935 was issued on 01/20/2015.

Medicare Part D records for calendar year 2023 show 5,033 prescription claims written by this provider, covering 452 Medicare beneficiaries and totaling roughly $792K in drug spend, split 16% brand-name and 82% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 89.8/100 for the 2023 performance year (Quality 75.6), compared with the 83.5 average among clinicians with a measured score.

Community Health Registered Nurse is a mid-sized specialty nationwide, with 7,593 enrolled providers across 53 states and an average of 918 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

825 W WASHINGTON ST STE 7
Eufaula, AL 36027

Provider Details

NPI 1366831935
Specialty Community Health Registered Nurse
Credentials FNP-C
Gender Female
NPI Issued 01/20/2015

CMS Quality Score (MIPS)

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

89.7644
Final Score
Measured-score avg: 83.5
75.5999
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Amanda Guettler, FNP-C 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.

Fmg Primecare LLC
Dothan, AL

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 Amanda Guettler, FNP-C. Source: openpaymentsdata.cms.gov.

Total received

$834

Largest payer

AstraZeneca Pharmaceuticals LP

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.

Brand vs generic prescribing mix · Typical

Amanda Guettler, FNP-C - brand share 16.0%
Community Health Registered Nurse average

16% brand-name claims vs 82% generic, on 5,033 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.

5,033
Total Claims
$792K
Total Drug Cost
452
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
11,374
Total Day Supply
330,630
Brand vs Generic
16% brand / 82% generic
Brand Drug Cost
$685K
Generic Drug Cost
$103K
Antibiotic Claims
117

Patient Demographics

Average Patient Age
67.0 years
Avg HCC Risk Score
1.34
Gender Split
61% female / 39% male
Age Distribution
<65: 146, 65-74: 199, 75-84: 86, 85+: 21

Top Prescribed Drugs (Medicare Part D)

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

What Amanda Guettler, FNP-C 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
Amlodipine Besylate
330
Atorvastatin Calcium
295
Levothyroxine Sodium
125
Losartan Potassium
125
Pantoprazole Sodium
124
Potassium Chloride
113
Lisinopril
108
Trulicity
Dulaglutide
108
Furosemide
104
Metformin Hcl
104

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

Community Health Registered Nurse Overview

How Amanda Guettler, FNP-C fits within the Community Health Registered Nurse landscape nationally.

7,593
Community Health Registered Nurse Providers in US
53
States with Community Health Registered Nurse
918
Avg Claims per Provider

Amanda Guettler, FNP-C's 5,033 claims are above the specialty average of 918.

Nearby Community Health Registered Nurse Providers in Alabama

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

One of 31 Community Health Registered Nurse providers enrolled in Alabama, 5 are shown here.

Compare Community Health Registered Nurse 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 Alabama medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Community Health Registered Nurse 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 Amanda Guettler, FNP-C's specialty?
Amanda Guettler, FNP-C specializes in Community Health Registered Nurse and practices in Eufaula, Alabama. Credentials: FNP-C.
How much does Amanda Guettler, FNP-C prescribe under Medicare Part D?
In 2023, Amanda Guettler, FNP-C wrote 5,033 Medicare Part D claims totaling $792K in drug costs for 452 beneficiaries.
What is Amanda Guettler, FNP-C's Medicare quality score?
Amanda Guettler, FNP-C has a CMS MIPS Final Score of 89.8/100 (Quality: 75.6). 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 Amanda Guettler, FNP-C located?
Amanda Guettler, FNP-C is located at 825 W WASHINGTON ST STE 7, Eufaula, AL, 36027. Phone: (334) 688-7410.
What is Amanda Guettler, FNP-C's NPI number?
Amanda Guettler, FNP-C's National Provider Identifier (NPI) is 1366831935, issued on 01/20/2015.
Does Amanda Guettler, FNP-C prescribe more brand-name or generic drugs?
Amanda Guettler, FNP-C's prescribing is 16% brand-name and 82% generic drugs by claim count, with $685K in brand drug costs.
How many Community Health Registered Nurse providers are there in the US?
There are 7,593 Community Health Registered Nurse providers across 53 states in the US. The average Community Health Registered Nurse provider writes 918 Medicare Part D claims per year.
What drugs does Amanda Guettler, FNP-C prescribe most often?
Based on 2023 Medicare Part D data, Amanda Guettler, FNP-C's most frequently prescribed drugs include Amlodipine Besylate, Atorvastatin Calcium, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Amanda Guettler, FNP-C accept Medicare?
Amanda Guettler, FNP-C appears in CMS Medicare data with 5,033 Part D claims and 452 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Amanda Guettler, FNP-C's credentials?
Amanda Guettler, FNP-C's NPI is 1366831935 with credentials FNP-C. 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.