PlainDoctor

2026 NPPES data Women's Health Nurse Practitioner NPI 1730604646 NP
Verify on CMS →

Andrea Sanclemente, NP

Women's Health Nurse Practitioner in Riverhead, New York.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,490 in Women's Health 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
349
Medicare Part D claims · 149 beneficiaries · Women's Health Nurse Practitioner avg: 262
Generic prescribing
76%
generic claims · 24% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
98.5/100
▲ 15 pts above national avg 83.5 · Exceptional
Industry payments
$287.13
9 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Andrea Sanclemente, NP reported a CMS MIPS final score of 98.5/100 - above the 83.5 national average - and filed 349 Medicare Part D claims in 2023.

98.5/100
MIPS score · +15 vs avg
349
Part D claims, 2023
76%
generic prescribing
$287.13
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.

Federal trust snapshot

What official records show about Andrea Sanclemente, NP

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1730604646), first enumerated 08/11/2017.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 349 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 98.5/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $287.13 in reported industry payments (9 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    New York statewide board action statistics are published annually — these figures describe aggregate state activity, not Andrea Sanclemente, NP's individual license status. Verify directly with the state medical board.

    Source: NYSBPMC annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1730604646 · Women's Health Nurse Practitioner

NPI-10 · ENUM-RECENT · TAX-MID · MIPS-ELITE · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1730604646
  • ENUM-RECENT 2017
  • TAX-MID 9K Women's Health
  • MIPS-ELITE 98.5/100
  • RX-LIGHT 349
  • BOOK-LIGHT 643 in New York
  • PHOTO-FINISH Lori Plummer · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Andrea Sanclemente, NP's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

99 ≥ 89th percentile 89% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Andrea Sanclemente, NP sits

This provider among women's health nurse practitioner peers

Across the 795 women's health nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Andrea Sanclemente, NP writes more Part D claims than 84% of them and scores higher on MIPS quality than 93% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.448.873.297.7Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 70Andrea Sanclemente, NP, Part D claim volume, percentile in specialty: 84 · MIPS quality, percentile: 93
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one women's health nurse practitioner peer from a representative sample of 60; the gold marker is Andrea Sanclemente, NP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Andrea Sanclemente, NP?

High performer (top quartile)

NPI registry status

Active

Issued 08/11/2017

NPI 1730604646

Primary specialty

Women's Health Nurse Practitioner

Mid-sized

9,490 US NPIs in this specialty

Medicare Part D claims

349 33% vs specialty avg

2023 prescription claims

Specialty avg: 262

MIPS final score

98.5/100 15 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in New York

How Women's Health Nurse Practitioner compares to other specialties among New York providers

New York providers
Student in an Organized Heal…7.8%Registered Nurse5.2%Clinical Social Worker4.9%Social Worker4.5%Speech-Language Pathologist4.5%Licensed Practical Nurse4.3%Women's Health Nurse Practit…0.1%
Largest specialties in New York (% of in-state providers)

Medicare quality performance, MIPS

Andrea Sanclemente, NP's 2023 MIPS final score plotted against the Women's Health Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
98.5/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%98.5%
MIPS final score (Women's Health Nurse Practitioner) - 98.5/100 vs national avg 83.5
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).

Practice Address

74 COMMERCE AVE STE 1
Riverhead, NY 11901
(631) 727-3422

Provider Details

NPI 1730604646
Specialty Women's Health Nurse Practitioner
Credentials NP
Gender Female
NPI Issued 08/11/2017

CMS Quality Score (MIPS)

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

98.5241
Final Score
Measured-score avg: 83.5
82.8545
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Andrea Sanclemente, NP 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.

University Associates IN Obstetrics And Gynecology University Faculty
Stony Brook, NY

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 Sanclemente, NP. Source: openpaymentsdata.cms.gov.

Total received

$287

Largest payer

Astellas Pharma US 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 - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to Andrea Sanclemente, NP. To verify Andrea Sanclemente, NP's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Andrea Sanclemente, NP - brand share 24.0%
Women's Health Nurse Practitioner average

24% brand-name claims vs 76% generic, on 349 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.

349
Total Claims
$84K
Total Drug Cost
149
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
714
Total Day Supply
19,626
Brand vs Generic
24% brand / 76% generic
Brand Drug Cost
$57K
Generic Drug Cost
$27K
Antibiotic Claims
18

Patient Demographics

Average Patient Age
72.9 years
Avg HCC Risk Score
0.79

Top Prescribed Drugs (Medicare Part D)

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

What Andrea Sanclemente, NP 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
Estradiol
 87
Myrbetriq
Mirabegron
24
Clotrimazole-Betamethasone
Clotrimazole/Betamethasone Dip
21
Yuvafem
Estradiol
20
Valacyclovir
Valacyclovir Hcl
18
Raloxifene Hcl
 17
Fluconazole
 14
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
13
Clobetasol Propionate
 11
Terconazole
 11

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

More Women's Health Nurse Practitioner in NY → All providers in New York → Compare specialties →

Women's Health Nurse Practitioner Overview

How Andrea Sanclemente, NP fits within the Women's Health Nurse Practitioner landscape nationally.

9,490
Women's Health Nurse Practitioner Providers in US
55
States with Women's Health Nurse Practitioner
262
Avg Claims per Provider

Andrea Sanclemente, NP's 349 claims are above the specialty average of 262.

Nationwide Women's Health Nurse Practitioner peers with similar MIPS or enrollment year

Two federal-record peer sets for Sanclemente, both outside New York so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (98.5 here).

Kerry Standley 98.5 NC Lori Plummer 98.5 GA Melissa Buddha 98.7 NJ Jennifer Enrique 98.7 NJ

Same NPPES enumeration year (2017)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Stephanie Mathews Boardman, OH Kristin Noto Lakewood, NJ Polina Goldenberg Boca Raton, FL Ashley Bruce Pittsburgh, PA

Nearby Women's Health Nurse Practitioner Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Sanclemente.

One of 643 Women's Health Nurse Practitioner providers enrolled in New York, 5 are shown here.

Tope Aade-Gbami
Brooklyn, NY
Dr. Sarah Adamic
NP
Bronx, NY
Dr. Evelyn Addo-Wallace
NP
New York, NY
Dr. Dorothy Adler
NP
Cortlandt Manor, NY
Dr. Robin Aftuck
CNM
Cuba, NY

Compare Women's Health Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is Andrea Sanclemente, NP's specialty? ▼
Andrea Sanclemente, NP specializes in Women's Health Nurse Practitioner and practices in Riverhead, New York. Credentials: NP.
How much does Andrea Sanclemente, NP prescribe under Medicare Part D? ▼
In 2023, Andrea Sanclemente, NP wrote 349 Medicare Part D claims totaling $84K in drug costs for 149 beneficiaries.
What is Andrea Sanclemente, NP's Medicare quality score? ▼
Andrea Sanclemente, NP has a CMS MIPS Final Score of 98.5/100 (Quality: 82.9). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Andrea Sanclemente, NP located? ▼
Andrea Sanclemente, NP is located at 74 COMMERCE AVE STE 1, Riverhead, NY, 11901. Phone: (631) 727-3422.
What is Andrea Sanclemente, NP's NPI number? ▼
Andrea Sanclemente, NP's National Provider Identifier (NPI) is 1730604646, issued on 08/11/2017.
Does Andrea Sanclemente, NP prescribe more brand-name or generic drugs? ▼
Andrea Sanclemente, NP's prescribing is 24% brand-name and 76% generic drugs by claim count, with $57K in brand drug costs.
How many Women's Health Nurse Practitioner providers are there in the US? ▼
There are 9,490 Women's Health Nurse Practitioner providers across 55 states in the US. The average Women's Health Nurse Practitioner provider writes 262 Medicare Part D claims per year.
What drugs does Andrea Sanclemente, NP prescribe most often? ▼
Based on 2023 Medicare Part D data, Andrea Sanclemente, NP's most frequently prescribed drugs include Estradiol, Myrbetriq, Clotrimazole-Betamethasone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Andrea Sanclemente, NP accept Medicare? ▼
Andrea Sanclemente, NP appears in CMS Medicare data with 349 Part D claims and 149 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Andrea Sanclemente, NP's credentials? ▼
Andrea Sanclemente, NP's NPI is 1730604646 with credentials NP. 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 editorial process.

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.