2026 NPPES data Registered Nurse First Assistant NPI 1619599040 RNFA, ARNP
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ANA-IRINA SPRINGER, RNFA, ARNP

Registered Nurse First Assistant in KIRKLAND, 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
859
Medicare Part D claims · 299 beneficiaries · Registered Nurse First Assistant avg: 419
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$20.89
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ANA-IRINA SPRINGER, RNFA, ARNP is a Registered Nurse First Assistant ([object Object]) practicing in KIRKLAND, Washington with a Medicare Part D prescribing footprint of 859 claims across 299 beneficiaries — 17% brand-name prescribing . Industry payments of $20.89 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ANA-IRINA SPRINGER, RNFA, ARNP filed 859 Medicare Part D claims in 2023 across KIRKLAND, Washington. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

ANA-IRINA SPRINGER, RNFA, ARNP at a glance

Quality data not reported

NPI registry status

Active

Issued 05/07/2020

NPI 1619599040

Primary specialty

Registered Nurse First Assistant

Niche

2,649 US NPIs in this specialty

Medicare Part D claims

859 105% vs specialty avg

2023 prescription claims

Specialty avg: 419

Specialty distribution in Washington

How Registered Nurse First Assistant compares to other specialties among Washington providers

Washington providers

Registered Nurse First Assistant share within Washington

1. Registered Nurse First Assistant42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Registered Nurse First Assistant share within Washington

Specialty board-certification context

Estimated specialty board-certified rate — Registered Nurse First Assistant (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Registered Nurse First Assistant ABMS/AOA estimate

Est. board-certified rate (Registered Nurse First Assistant) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Registered Nurse First Assistant) — 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).

ANA-IRINA SPRINGER, RNFA, ARNP is a Registered Nurse First Assistant provider practicing in KIRKLAND, Washington, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: RNFA, ARNP. NPI: 1619599040. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ANA-IRINA SPRINGER, RNFA, ARNP appears in the CMS NPPES registry as a Registered Nurse First Assistant provider holding RNFA, ARNP credentials at 11911 NE 132ND ST, KIRKLAND, WA, 98034, with a listed phone of (425) 899-5800. NPI 1619599040 was issued on 05/07/2020. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SPRINGER 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 859 prescription claims written by this provider, covering 299 Medicare beneficiaries and totaling roughly $100K in drug spend, split 17% brand-name and 83% 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.

Registered Nurse First Assistant is a narrow specialty nationwide, with 2,649 enrolled providers across 50 states and an average of 419 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

11911 NE 132ND ST
KIRKLAND, WA 98034

Provider Details

NPI 1619599040
Specialty Registered Nurse First Assistant
Credentials RNFA, ARNP
Gender Female
NPI Issued 05/07/2020

Hospital and facility affiliations

Facilities where ANA-IRINA SPRINGER, RNFA, 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.

KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2
KIRKLAND, 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-IRINA SPRINGER, RNFA, ARNP. Source: openpaymentsdata.cms.gov.

Total received

$21

Largest payer

Axonics, Inc.

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-IRINA SPRINGER, RNFA, ARNP. To verify ANA-IRINA SPRINGER, RNFA, 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-IRINA SPRINGER, RNFA, ARNP — brand share 17.0%
Specialty average (est.)

17% brand-name claims vs 83% generic, on 859 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.

859
Total Claims
$100K
Total Drug Cost
299
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,312
Total Day Supply
33,259
Brand vs Generic
17% brand / 83% generic
Brand Drug Cost
$84K
Generic Drug Cost
$16K
Opioid Claims
28 (3.3% rate)
Antibiotic Claims
208

Patient Demographics

Average Patient Age
76.1 years
Avg HCC Risk Score
1.30
Gender Split
43% female / 57% male
Age Distribution
<65: 14, 65-74: 118, 75-84: 118, 85+: 49

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Tamsulosin Hcl
295
Myrbetriq
Mirabegron
127
Cephalexin
81
Estradiol
57
Finasteride
49
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
38
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
38
Oxybutynin Chloride Er
Oxybutynin Chloride
18
Oxycodone Hcl
12

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

Registered Nurse First Assistant Overview

How ANA-IRINA SPRINGER, RNFA, ARNP fits within the Registered Nurse First Assistant landscape nationally.

2,649
Registered Nurse First Assistant Providers in US
50
States with Registered Nurse First Assistant
419
Avg Claims per Provider

ANA-IRINA SPRINGER, RNFA, ARNP's 859 claims are above the specialty average of 419.

Nearby Registered Nurse First Assistant Providers in Washington

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

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

Frequently Asked Questions

What is ANA-IRINA SPRINGER, RNFA, ARNP's specialty?
ANA-IRINA SPRINGER, RNFA, ARNP specializes in Registered Nurse First Assistant and practices in KIRKLAND, Washington. Credentials: RNFA, ARNP.
How much does ANA-IRINA SPRINGER, RNFA, ARNP prescribe under Medicare Part D?
In 2023, ANA-IRINA SPRINGER, RNFA, ARNP wrote 859 Medicare Part D claims totaling $100K in drug costs for 299 beneficiaries.
Where is ANA-IRINA SPRINGER, RNFA, ARNP located?
ANA-IRINA SPRINGER, RNFA, ARNP is located at 11911 NE 132ND ST, KIRKLAND, WA, 98034. Phone: (425) 899-5800.
What is ANA-IRINA SPRINGER, RNFA, ARNP's NPI number?
ANA-IRINA SPRINGER, RNFA, ARNP's National Provider Identifier (NPI) is 1619599040, issued on 05/07/2020.
Does ANA-IRINA SPRINGER, RNFA, ARNP prescribe more brand-name or generic drugs?
ANA-IRINA SPRINGER, RNFA, ARNP's prescribing is 17% brand-name and 83% generic drugs by claim count, with $84K in brand drug costs.
Does ANA-IRINA SPRINGER, RNFA, ARNP prescribe opioids?
Yes, ANA-IRINA SPRINGER, RNFA, ARNP had 28 opioid claims in 2023 with an opioid prescribing rate of 3.3%.
How many Registered Nurse First Assistant providers are there in the US?
There are 2,649 Registered Nurse First Assistant providers across 50 states in the US. The average Registered Nurse First Assistant provider writes 419 Medicare Part D claims per year.
What drugs does ANA-IRINA SPRINGER, RNFA, ARNP prescribe most often?
Based on 2023 Medicare Part D data, ANA-IRINA SPRINGER, RNFA, ARNP's most frequently prescribed drugs include Tamsulosin Hcl, Myrbetriq, Cephalexin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANA-IRINA SPRINGER, RNFA, ARNP accept Medicare?
ANA-IRINA SPRINGER, RNFA, ARNP appears in CMS Medicare data with 859 Part D claims and 299 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANA-IRINA SPRINGER, RNFA, ARNP's credentials?
ANA-IRINA SPRINGER, RNFA, ARNP's NPI is 1619599040 with credentials RNFA, 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.
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