2026 NPPES data Emergency Registered Nurse NPI 1922509090 FNP-C
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ANDREA ALAMEDA, FNP-C

Emergency Registered Nurse in SAINT LOUIS, Missouri. 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
288
Medicare Part D claims · 186 beneficiaries · Emergency Registered Nurse avg: 710
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
54.7226/100
▼ 28 pts below national avg 83.1 · [object Object]
Industry payments
$13.62
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ANDREA ALAMEDA, FNP-C is a Emergency Registered Nurse ([object Object]) practicing in SAINT LOUIS, Missouri with a Medicare Part D prescribing footprint of 288 claims across 186 beneficiaries — 6% brand-name prescribing . Their CMS MIPS Final Score of 54.7226/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $13.62 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ANDREA ALAMEDA, FNP-C reported a CMS MIPS final score of 54.7226 out of 100, below the 83.1 national average, and filed 288 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

ANDREA ALAMEDA, FNP-C at a glance

Below national average

NPI registry status

Active

Issued 02/23/2018

NPI 1922509090

Primary specialty

Emergency Registered Nurse

Niche

4,284 US NPIs in this specialty

Medicare Part D claims

288 59% vs specialty avg

2023 prescription claims

Specialty avg: 710

MIPS final score

54.7226/100 28.377399999999994% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Missouri

How Emergency Registered Nurse compares to other specialties among Missouri providers

Missouri providers

Emergency Registered Nurse share within Missouri

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

Medicare quality performance — MIPS

ANDREA ALAMEDA, FNP-C's 2023 MIPS final score plotted against the Emergency Registered Nurse national average

Below national average
MIPS Final Score
54.7226/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Registered Nurse) — 54.7226/100 vs national avg 83.1

0%100%National avg83%54.7%
MIPS final score (Emergency Registered Nurse) — 54.7226/100 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).

ANDREA ALAMEDA, FNP-C is a Emergency Registered Nurse provider practicing in SAINT LOUIS, Missouri, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: FNP-C. NPI: 1922509090. 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.

ANDREA ALAMEDA, FNP-C appears in the CMS NPPES registry as a Emergency Registered Nurse provider holding FNP-C credentials at 9556 MANCHESTER RD, SAINT LOUIS, MO, 63119, with a listed phone of (314) 373-5740. NPI 1922509090 was issued on 02/23/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ALAMEDA 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 288 prescription claims written by this provider, covering 186 Medicare beneficiaries and totaling roughly $3K in drug spend, split 6% brand-name and 94% 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 54.7226/100 for the 2023 performance year (Quality 47.4381, Cost 84.9707), compared with the national average of 83.1.

Emergency Registered Nurse is a narrow specialty nationwide, with 4,284 enrolled providers across 54 states and an average of 710 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

9556 MANCHESTER RD
SAINT LOUIS, MO 63119

Provider Details

NPI 1922509090
Specialty Emergency Registered Nurse
Credentials FNP-C
Gender Female
NPI Issued 02/23/2018

CMS Quality Score (MIPS)

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

54.7226
Final Score
Avg: 83.1
47.4381
Quality
84.9707
Cost
0
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ANDREA ALAMEDA, 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.

TOTAL ACCESS URGENT CARE PC
SAINT LOUIS, MO

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 ANDREA ALAMEDA, FNP-C. Source: openpaymentsdata.cms.gov.

Total received

$14

Largest payer

PFIZER 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.

Brand vs generic prescribing mix · Generic-heavy

ANDREA ALAMEDA, FNP-C — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 288 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.

288
Total Claims
$3K
Total Drug Cost
186
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
288
Total Day Supply
2,668
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$639
Generic Drug Cost
$2K
Antibiotic Claims
125

Patient Demographics

Average Patient Age
71.5 years
Avg HCC Risk Score
1.31
Gender Split
65% female / 35% male
Age Distribution
<65: 30, 65-74: 82, 75-84: 61, 85+: 13

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Prednisone
46
Doxycycline Monohydrate
42
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
34
Albuterol Sulfate Hfa
Albuterol Sulfate
23
Lagevrio (Eua)
Molnupiravir
23
Cephalexin
21

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

Emergency Registered Nurse Overview

How ANDREA ALAMEDA, FNP-C fits within the Emergency Registered Nurse landscape nationally.

4,284
Emergency Registered Nurse Providers in US
54
States with Emergency Registered Nurse
710
Avg Claims per Provider

ANDREA ALAMEDA, FNP-C's 288 claims are below the specialty average of 710.

Nearby Emergency Registered Nurse Providers in Missouri

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

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

Frequently Asked Questions

What is ANDREA ALAMEDA, FNP-C's specialty?
ANDREA ALAMEDA, FNP-C specializes in Emergency Registered Nurse and practices in SAINT LOUIS, Missouri. Credentials: FNP-C.
How much does ANDREA ALAMEDA, FNP-C prescribe under Medicare Part D?
In 2023, ANDREA ALAMEDA, FNP-C wrote 288 Medicare Part D claims totaling $3K in drug costs for 186 beneficiaries.
What is ANDREA ALAMEDA, FNP-C's Medicare quality score?
ANDREA ALAMEDA, FNP-C has a CMS MIPS Final Score of 54.7226/100 (Quality: 47.4381, Cost: 84.9707). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ANDREA ALAMEDA, FNP-C located?
ANDREA ALAMEDA, FNP-C is located at 9556 MANCHESTER RD, SAINT LOUIS, MO, 63119. Phone: (314) 373-5740.
What is ANDREA ALAMEDA, FNP-C's NPI number?
ANDREA ALAMEDA, FNP-C's National Provider Identifier (NPI) is 1922509090, issued on 02/23/2018.
Does ANDREA ALAMEDA, FNP-C prescribe more brand-name or generic drugs?
ANDREA ALAMEDA, FNP-C's prescribing is 6% brand-name and 94% generic drugs by claim count, with $639 in brand drug costs.
How many Emergency Registered Nurse providers are there in the US?
There are 4,284 Emergency Registered Nurse providers across 54 states in the US. The average Emergency Registered Nurse provider writes 710 Medicare Part D claims per year.
What drugs does ANDREA ALAMEDA, FNP-C prescribe most often?
Based on 2023 Medicare Part D data, ANDREA ALAMEDA, FNP-C's most frequently prescribed drugs include Prednisone, Doxycycline Monohydrate, Amoxicillin-Clavulanate Potass. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANDREA ALAMEDA, FNP-C accept Medicare?
ANDREA ALAMEDA, FNP-C appears in CMS Medicare data with 288 Part D claims and 186 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANDREA ALAMEDA, FNP-C's credentials?
ANDREA ALAMEDA, FNP-C's NPI is 1922509090 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

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