2026 NPPES data Primary Care Nurse Practitioner NPI 1295345320
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Ana-Alicia Fahl

Primary Care Nurse Practitioner in Gridley, California.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 10,179 in Primary Care 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
227
Medicare Part D claims · 74 beneficiaries · Primary Care Nurse Practitioner avg: 1K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
73.3/100
▼ 10 pts below national avg 83.1 · Mid-tier
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Ana-Alicia Fahl reported a CMS MIPS final score of 73.3/100 - below the 83.1 national average - and filed 227 Medicare Part D claims in 2023.

73.3/100
MIPS score · -10 vs avg
227
Part D claims, 2023
91%
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.

Ana-Alicia Fahl's MIPS score vs every scored U.S. clinician

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

73 11th percentile higher than 11% 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 Ana-Alicia Fahl sits

This provider among primary care nurse practitioner peers

Across the 958 primary care nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Ana-Alicia Fahl writes more Part D claims than 28% of them and scores higher on MIPS quality than 12% - 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 quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 62Ana-Alicia Fahl-Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 12
Part D claim volume vs MIPS quality, by specialty percentile

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

What does the federal data show about Ana-Alicia Fahl?

Below national average

NPI registry status

Active

Issued 08/04/2020

NPI 1295345320

Primary specialty

Primary Care Nurse Practitioner

Mid-sized

10,179 US NPIs in this specialty

Medicare Part D claims

227 83% vs specialty avg

2023 prescription claims

Specialty avg: 1,363

MIPS final score

73.3/100 9.8 pts vs avg

Mid-tier band

vs 83.1 national avg

Specialty distribution in California

How Primary Care Nurse Practitioner compares to other specialties among California providers

California providers
Behavior Technician - 17.3%Behavior Technician17.3%Marriage & Family Therapist - 5.5%Marriage & Family Therapist5.5%Student in an Organized Health Care Education/Training Program - 5%Student in an Organized Health Care Education/Training Program5%Mental Health Counselor - 3.9%Mental Health Counselor3.9%Pharmacist - 3.5%Pharmacist3.5%Clinical Social Worker - 3.1%Clinical Social Worker3.1%Primary Care Nurse Practitioner - 0.1%Primary Care Nurse Practitioner0.1%
Largest specialties in California (% of in-state providers)

Medicare quality performance, MIPS

Ana-Alicia Fahl's 2023 MIPS final score plotted against the Primary Care Nurse Practitioner national average

Below national average
MIPS Final Score
73.3/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Primary Care Nurse Practitioner) - 73.3/100 vs national avg 83.1

0%100%National avg83%73.3%
MIPS final score (Primary Care Nurse Practitioner) - 73.3/100 vs national avg 83.1
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).

Ana-Alicia Fahl appears in the CMS NPPES registry as a Primary Care Nurse Practitioner provider at 225 SPRUCE ST, Gridley, CA, 95948, with a listed phone of (530) 846-5655. NPI 1295345320 was issued on 08/04/2020.

Medicare Part D records for calendar year 2023 show 227 prescription claims written by this provider, covering 74 Medicare beneficiaries and totaling roughly $39K in drug spend, split 9% brand-name and 91% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 73.3/100 for the 2023 performance year (Quality 36.9, Cost 57.8), compared with the national average of 83.1.

Primary Care Nurse Practitioner is a mid-sized specialty nationwide, with 10,179 enrolled providers across 54 states and an average of 1,363 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

225 SPRUCE ST
Gridley, CA 95948

Provider Details

NPI 1295345320
Specialty Primary Care Nurse Practitioner
Gender Female
NPI Issued 08/04/2020

CMS Quality Score (MIPS)

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

73.3427
Final Score
Avg: 83.1
36.895
Quality
57.8239
Cost
100
Promoting Interoperability

Reporting: Group practice

License & disciplinary context - California MBC 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 ~150K California medical licensees in 2023 - they are NOT specific to Ana-Alicia Fahl. To verify Ana-Alicia Fahl's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

Ana-Alicia Fahl - brand share 9.0%
Primary Care Nurse Practitioner average

9% brand-name claims vs 91% generic, on 227 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.

227
Total Claims
$39K
Total Drug Cost
74
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
453
Total Day Supply
12,486
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$35K
Generic Drug Cost
$5K
Antibiotic Claims
42

Patient Demographics

Average Patient Age
70.9 years
Avg HCC Risk Score
1.95
Gender Split
41% female / 59% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
22
Doxycycline Hyclate
22

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

Primary Care Nurse Practitioner Overview

How Ana-Alicia Fahl fits within the Primary Care Nurse Practitioner landscape nationally.

10,179
Primary Care Nurse Practitioner Providers in US
54
States with Primary Care Nurse Practitioner
1,363
Avg Claims per Provider

Ana-Alicia Fahl's 227 claims are below the specialty average of 1,363.

Nearby Primary Care Nurse Practitioner Providers in California

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

Compare Primary Care 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 California medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Primary Care 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 Ana-Alicia Fahl's specialty?
Ana-Alicia Fahl specializes in Primary Care Nurse Practitioner and practices in Gridley, California.
How much does Ana-Alicia Fahl prescribe under Medicare Part D?
In 2023, Ana-Alicia Fahl wrote 227 Medicare Part D claims totaling $39K in drug costs for 74 beneficiaries.
What is Ana-Alicia Fahl's Medicare quality score?
Ana-Alicia Fahl has a CMS MIPS Final Score of 73.3/100 (Quality: 36.9, Cost: 57.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Ana-Alicia Fahl located?
Ana-Alicia Fahl is located at 225 SPRUCE ST, Gridley, CA, 95948. Phone: (530) 846-5655.
What is Ana-Alicia Fahl's NPI number?
Ana-Alicia Fahl's National Provider Identifier (NPI) is 1295345320, issued on 08/04/2020.
Does Ana-Alicia Fahl prescribe more brand-name or generic drugs?
Ana-Alicia Fahl's prescribing is 9% brand-name and 91% generic drugs by claim count, with $35K in brand drug costs.
How many Primary Care Nurse Practitioner providers are there in the US?
There are 10,179 Primary Care Nurse Practitioner providers across 54 states in the US. The average Primary Care Nurse Practitioner provider writes 1,363 Medicare Part D claims per year.
What drugs does Ana-Alicia Fahl prescribe most often?
Based on 2023 Medicare Part D data, Ana-Alicia Fahl's most frequently prescribed drugs include Atorvastatin Calcium, Doxycycline Hyclate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ana-Alicia Fahl accept Medicare?
Ana-Alicia Fahl appears in CMS Medicare data with 227 Part D claims and 74 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ana-Alicia Fahl's credentials?
Ana-Alicia Fahl's NPI is 1295345320. 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

Compiled from official public sources by the PlainDoctor editorial team.

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.