2026 NPPES data Registered Nurse NPI 1427528272 DNP, ARNP
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ANA CZARINA BUTAC, DNP, ARNP

Registered Nurse in SEATTLE, Washington. 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
333
Medicare Part D claims · 96 beneficiaries · Registered Nurse avg: 1K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
82.8417/100
▼ 0 pts below national avg 83.1 · [object Object]
Industry payments
$166.76
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ANA CZARINA BUTAC, DNP, ARNP reported a CMS MIPS final score of 82.8417/100 — below the 83.1 national average — and filed 333 Medicare Part D claims in 2023.

82.8417/100
MIPS score · 0 vs avg
333
Part D claims, 2023
88%
generic prescribing
$166.76
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.

ANA CZARINA BUTAC, DNP, ARNP's MIPS score vs every scored U.S. clinician

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

83 39th percentile higher than 39% 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%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 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

What does the federal data show about ANA CZARINA BUTAC, DNP, ARNP?

Near national average

NPI registry status

Active

Issued 12/04/2018

NPI 1427528272

Primary specialty

Registered Nurse

High-volume

175,652 US NPIs in this specialty

Medicare Part D claims

333 67% vs specialty avg

2023 prescription claims

Specialty avg: 1,000

MIPS final score

82.8417/100 0.2582999999999913% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Washington

How Registered Nurse compares to other specialties among Washington providers

Washington providers

Registered Nurse share within Washington

1. Registered Nurse42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Registered Nurse share within Washington

Medicare quality performance — MIPS

ANA CZARINA BUTAC, DNP, ARNP's 2023 MIPS final score plotted against the Registered Nurse national average

Near national average
MIPS Final Score
82.8417/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Registered Nurse) — 82.8417/100 vs national avg 83.1

0%100%National avg83%82.8%
MIPS final score (Registered Nurse) — 82.8417/100 vs national avg 83.1

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 CZARINA BUTAC, DNP, ARNP appears in the CMS NPPES registry as a Registered Nurse provider holding DNP, ARNP credentials at 1221 MADISON ST STE 1220, SEATTLE, WA, 98104, with a listed phone of (206) 215-4250. NPI 1427528272 was issued on 12/04/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BUTAC 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 333 prescription claims written by this provider, covering 96 Medicare beneficiaries and totaling roughly $42K in drug spend, split 12% brand-name and 88% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 82.8417/100 for the 2023 performance year (Quality 82.1476, Cost 60.658), compared with the national average of 83.1.

Registered Nurse is a high-volume specialty nationwide, with 175,652 enrolled providers across 56 states and an average of 1,000 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

1221 MADISON ST STE 1220
SEATTLE, WA 98104

Provider Details

NPI 1427528272
Specialty Registered Nurse
Credentials DNP, ARNP
Gender Female
NPI Issued 12/04/2018

CMS Quality Score (MIPS)

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

82.8417
Final Score
Avg: 83.1
82.1476
Quality
60.658
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ANA CZARINA BUTAC, DNP, 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.

SWEDISH HEALTH SERVICES
SEATTLE, WA

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 ANA CZARINA BUTAC, DNP, ARNP. Source: openpaymentsdata.cms.gov.

Total received

$167

Largest payer

Abbott Laboratories

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 — Washington WMC 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 ~34K Washington medical licensees in 2023 — they are NOT specific to ANA CZARINA BUTAC, DNP, ARNP. To verify ANA CZARINA BUTAC, DNP, ARNP's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC 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 Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

ANA CZARINA BUTAC, DNP, ARNP — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 333 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.

333
Total Claims
$42K
Total Drug Cost
96
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
420
Total Day Supply
11,231
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$25K
Generic Drug Cost
$17K

Patient Demographics

Average Patient Age
70.9 years
Avg HCC Risk Score
1.37
Gender Split
57% female / 43% male
Age Distribution
<65: 16, 65-74: 46, 75-84: 23, 85+: 11

Top Prescribed Drugs (Medicare Part D)

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

What ANA CZARINA BUTAC, DNP, 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
Omeprazole
60
Pantoprazole Sodium
47
Dicyclomine Hcl
36
Famotidine
33
Nortriptyline Hcl
24
Ondansetron Odt
Ondansetron
17
Linzess
Linaclotide
15
Creon
Lipase/Protease/Amylase
12

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

Registered Nurse Overview

How ANA CZARINA BUTAC, DNP, ARNP fits within the Registered Nurse landscape nationally.

175,652
Registered Nurse Providers in US
56
States with Registered Nurse
1,000
Avg Claims per Provider

ANA CZARINA BUTAC, DNP, ARNP's 333 claims are below the specialty average of 1,000.

Nearby Registered Nurse Providers in Washington

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

Compare Registered Nurse nationally: see state-by-state distribution →

Frequently Asked Questions

What is ANA CZARINA BUTAC, DNP, ARNP's specialty?
ANA CZARINA BUTAC, DNP, ARNP specializes in Registered Nurse and practices in SEATTLE, Washington. Credentials: DNP, ARNP.
How much does ANA CZARINA BUTAC, DNP, ARNP prescribe under Medicare Part D?
In 2023, ANA CZARINA BUTAC, DNP, ARNP wrote 333 Medicare Part D claims totaling $42K in drug costs for 96 beneficiaries.
What is ANA CZARINA BUTAC, DNP, ARNP's Medicare quality score?
ANA CZARINA BUTAC, DNP, ARNP has a CMS MIPS Final Score of 82.8417/100 (Quality: 82.1476, Cost: 60.658). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ANA CZARINA BUTAC, DNP, ARNP located?
ANA CZARINA BUTAC, DNP, ARNP is located at 1221 MADISON ST STE 1220, SEATTLE, WA, 98104. Phone: (206) 215-4250.
What is ANA CZARINA BUTAC, DNP, ARNP's NPI number?
ANA CZARINA BUTAC, DNP, ARNP's National Provider Identifier (NPI) is 1427528272, issued on 12/04/2018.
Does ANA CZARINA BUTAC, DNP, ARNP prescribe more brand-name or generic drugs?
ANA CZARINA BUTAC, DNP, ARNP's prescribing is 12% brand-name and 88% generic drugs by claim count, with $25K in brand drug costs.
How many Registered Nurse providers are there in the US?
There are 175,652 Registered Nurse providers across 56 states in the US. The average Registered Nurse provider writes 1,000 Medicare Part D claims per year.
What drugs does ANA CZARINA BUTAC, DNP, ARNP prescribe most often?
Based on 2023 Medicare Part D data, ANA CZARINA BUTAC, DNP, ARNP's most frequently prescribed drugs include Omeprazole, Pantoprazole Sodium, Dicyclomine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANA CZARINA BUTAC, DNP, ARNP accept Medicare?
ANA CZARINA BUTAC, DNP, ARNP appears in CMS Medicare data with 333 Part D claims and 96 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANA CZARINA BUTAC, DNP, ARNP's credentials?
ANA CZARINA BUTAC, DNP, ARNP's NPI is 1427528272 with credentials DNP, 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

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