2026 NPPES data Psychiatric/Mental Health Registered Nurse NPI 1033436480 BSN, RN, MSN, APMHNP
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AMBER LACINA, BSN, RN, MSN, APMHNP

Psychiatric/Mental Health Registered Nurse in WAVERLY, Iowa. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
3K
Medicare Part D claims · 87 beneficiaries · Psychiatric/Mental Health Registered Nurse avg: 893
Generic prescribing
97%
generic claims · 3% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

AMBER LACINA, BSN, RN, MSN, APMHNP filed 2,725 Medicare Part D claims in 2023 as a Psychiatric/Mental Health Registered Nurse in WAVERLY, Iowa, prescribing 97% generic.

3K
Part D claims, 2023
97%
generic prescribing

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.

AMBER LACINA, BSN, RN, MSN, APMHNP's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

2,725 Top 12% higher than 88% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about AMBER LACINA, BSN, RN, MSN, APMHNP?

Quality data not reported

NPI registry status

Active

Issued 04/26/2010

NPI 1033436480

Primary specialty

Psychiatric/Mental Health Registered Nurse

Mid-sized

11,711 US NPIs in this specialty

Medicare Part D claims

2,725 205% vs specialty avg

2023 prescription claims

Specialty avg: 893

Specialty distribution in Iowa

How Psychiatric/Mental Health Registered Nurse compares to other specialties among Iowa providers

Iowa providers

Psychiatric/Mental Health Registered Nurse share within Iowa

1. Psychiatric/Mental Health Registered Nurse42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Psychiatric/Mental Health Registered Nurse share within Iowa

Specialty board-certification context

Estimated specialty board-certified rate — Psychiatric/Mental Health Registered Nurse (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Psychiatric/Mental Health Registered Nurse ABMS/AOA estimate

Est. board-certified rate (Psychiatric/Mental Health Registered Nurse) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Psychiatric/Mental Health Registered Nurse) — ABMS / AOA estimate

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).

AMBER LACINA, BSN, RN, MSN, APMHNP appears in the CMS NPPES registry as a Psychiatric/Mental Health Registered Nurse provider holding BSN, RN, MSN, APMHNP credentials at 111 10TH ST SW, WAVERLY, IA, 50677, with a listed phone of (319) 352-1353. NPI 1033436480 was issued on 04/26/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LACINA 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 2,725 prescription claims written by this provider, covering 87 Medicare beneficiaries and totaling roughly $231K in drug spend, split 3% brand-name and 97% generic by claim count. 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.

Psychiatric/Mental Health Registered Nurse is a mid-sized specialty nationwide, with 11,711 enrolled providers across 54 states and an average of 893 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

111 10TH ST SW
WAVERLY, IA 50677

Provider Details

NPI 1033436480
Specialty Psychiatric/Mental Health Registered Nurse
Credentials BSN, RN, MSN, APMHNP
Gender Female
NPI Issued 04/26/2010

Brand vs generic prescribing mix · Generic-heavy

AMBER LACINA, BSN, RN, MSN, APMHNP — brand share 3.0%
Specialty average (est.)

3% brand-name claims vs 97% generic, on 2,725 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.

2,725
Total Claims
$231K
Total Drug Cost
87
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,769
Total Day Supply
80,938
Brand vs Generic
3% brand / 97% generic
Brand Drug Cost
$141K
Generic Drug Cost
$90K

Patient Demographics

Average Patient Age
48.8 years
Avg HCC Risk Score
0.82
Gender Split
45% female / 55% male
Age Distribution
<65: 72, 65-74: 12, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What AMBER LACINA, BSN, RN, MSN, APMHNP 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
Risperidone
375
Sertraline Hcl
235
Buspirone Hcl
232
Quetiapine Fumarate
154
Divalproex Sodium Er
Divalproex Sodium
141
Escitalopram Oxalate
133
Trazodone Hcl
132
Benztropine Mesylate
123
Olanzapine
102
Lorazepam
72

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

Psychiatric/Mental Health Registered Nurse Overview

How AMBER LACINA, BSN, RN, MSN, APMHNP fits within the Psychiatric/Mental Health Registered Nurse landscape nationally.

11,711
Psychiatric/Mental Health Registered Nurse Providers in US
54
States with Psychiatric/Mental Health Registered Nurse
893
Avg Claims per Provider

AMBER LACINA, BSN, RN, MSN, APMHNP's 2,725 claims are above the specialty average of 893.

Nearby Psychiatric/Mental Health Registered Nurse Providers in Iowa

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

Compare Psychiatric/Mental Health Registered Nurse nationally: see state-by-state distribution →

Frequently Asked Questions

What is AMBER LACINA, BSN, RN, MSN, APMHNP's specialty?
AMBER LACINA, BSN, RN, MSN, APMHNP specializes in Psychiatric/Mental Health Registered Nurse and practices in WAVERLY, Iowa. Credentials: BSN, RN, MSN, APMHNP.
How much does AMBER LACINA, BSN, RN, MSN, APMHNP prescribe under Medicare Part D?
In 2023, AMBER LACINA, BSN, RN, MSN, APMHNP wrote 2,725 Medicare Part D claims totaling $231K in drug costs for 87 beneficiaries.
Where is AMBER LACINA, BSN, RN, MSN, APMHNP located?
AMBER LACINA, BSN, RN, MSN, APMHNP is located at 111 10TH ST SW, WAVERLY, IA, 50677. Phone: (319) 352-1353.
What is AMBER LACINA, BSN, RN, MSN, APMHNP's NPI number?
AMBER LACINA, BSN, RN, MSN, APMHNP's National Provider Identifier (NPI) is 1033436480, issued on 04/26/2010.
Does AMBER LACINA, BSN, RN, MSN, APMHNP prescribe more brand-name or generic drugs?
AMBER LACINA, BSN, RN, MSN, APMHNP's prescribing is 3% brand-name and 97% generic drugs by claim count, with $141K in brand drug costs.
How many Psychiatric/Mental Health Registered Nurse providers are there in the US?
There are 11,711 Psychiatric/Mental Health Registered Nurse providers across 54 states in the US. The average Psychiatric/Mental Health Registered Nurse provider writes 893 Medicare Part D claims per year.
What drugs does AMBER LACINA, BSN, RN, MSN, APMHNP prescribe most often?
Based on 2023 Medicare Part D data, AMBER LACINA, BSN, RN, MSN, APMHNP's most frequently prescribed drugs include Risperidone, Sertraline Hcl, Buspirone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does AMBER LACINA, BSN, RN, MSN, APMHNP accept Medicare?
AMBER LACINA, BSN, RN, MSN, APMHNP appears in CMS Medicare data with 2,725 Part D claims and 87 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify AMBER LACINA, BSN, RN, MSN, APMHNP's credentials?
AMBER LACINA, BSN, RN, MSN, APMHNP's NPI is 1033436480 with credentials BSN, RN, MSN, APMHNP. 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.
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