NPI registry status
Active
2026 NPPES data Acute Care Nurse Practitioner NPI 1265780894 NP
Verify on CMS → Annetta Troche, NP
Acute Care Nurse Practitioner in Windsor, Connecticut.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 24,697 in Acute 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
718
Medicare Part D claims · 130 beneficiaries · Acute Care Nurse Practitioner avg: 576
Generic prescribing
83%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
89.4/100
▲ 6 pts above national avg 83.1 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Annetta Troche, NP reported a CMS MIPS final score of 89.4/100 - above the 83.1 national average - and filed 718 Medicare Part D claims in 2023.
- 89.4/100
- MIPS score · +6 vs avg
- 718
- Part D claims, 2023
- 83%
- 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.
Annetta Troche, NP's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
89 Top 42% higher than 58% of 477,587 scored providers
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 Annetta Troche, NP sits
This provider among acute care nurse practitioner peers
Across the 3,864 acute care nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Annetta Troche, NP writes more Part D claims than 80% of them and scores higher on MIPS quality than 57% - placing this provider in the high-volume, high-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
Each dot is one acute care nurse practitioner peer from a representative sample of 60; the gold marker is Annetta Troche, NP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Annetta Troche, NP?
High performer (top quartile)Primary specialty
Acute Care Nurse Practitioner
Medicare Part D claims
718 25% vs specialty avg
MIPS final score
89.4/100 6.3 pts vs avg
Specialty distribution in Connecticut
How Acute Care Nurse Practitioner compares to other specialties among Connecticut providers
Medicare quality performance, MIPS
Annetta Troche, NP's 2023 MIPS final score plotted against the Acute Care Nurse Practitioner national average
- MIPS Final Score
- 89.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Acute Care Nurse Practitioner) - 89.4/100 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).
Annetta Troche, NP appears in the CMS NPPES registry as an Acute Care Nurse Practitioner provider holding NP credentials at 22 PARKWOOD DRIVE, Windsor, CT, 06095, with a listed phone of (860) 683-8949. NPI 1265780894 was issued on 08/29/2012.
Medicare Part D records for calendar year 2023 show 718 prescription claims written by this provider, covering 130 Medicare beneficiaries and totaling roughly $33K in drug spend, split 15% brand-name and 83% generic by claim count, with an opioid prescribing rate of 3.6%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 89.4/100 for the 2023 performance year (Quality 78.2, Cost 71.3), compared with the national average of 83.1.
Acute Care Nurse Practitioner is a mid-sized specialty nationwide, with 24,697 enrolled providers across 53 states and an average of 576 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
Provider Details
| NPI | 1265780894 |
|---|---|
| Specialty | Acute Care Nurse Practitioner |
| Credentials | NP |
| Gender | Female |
| NPI Issued | 08/29/2012 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
89.4025
Final Score
Avg: 83.1
78.1899
Quality
71.327
Cost
Reporting: Group practice
Hospital and facility affiliations
Facilities where Annetta Troche, 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.
Hdc Care Solutions LLC
Middletown, CT
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Typical
Annetta Troche, NP - brand share 15.0%
Acute Care Nurse Practitioner average
15% brand-name claims vs 83% generic, on 718 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.
718
Total Claims
$33K
Total Drug Cost
130
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 865
- Total Day Supply
- 18,176
- Brand vs Generic
- 15% brand / 83% generic
- Brand Drug Cost
- $15K
- Generic Drug Cost
- $17K
- Opioid Claims
- 26 (3.6% rate)
- Antibiotic Claims
- 30
Patient Demographics
- Average Patient Age
- 80.8 years
- Avg HCC Risk Score
- 2.60
- Gender Split
- 64% female / 36% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Annetta Troche, NP prescribes most
Top Medicare Part D drugs by claim count, 2023
- Furosemide
Furosemide
52 claims
- Potassium Chloride
Potassium Chloride
33 claims
- Levothyroxine Sodium
Levothyroxine Sodium
25 claims
- Tamsulosin Hcl
Tamsulosin Hcl
23 claims
- Tresiba Flextouch …
Tresiba Flextouch U-100
22 claims
- Atorvastatin Calcium 18
Atorvastatin Calcium
18 claims
- Mirtazapine 18
Mirtazapine
18 claims
- Amlodipine Besylate 17
Amlodipine Besylate
17 claims
| Drug | Claims |
|---|---|
| Furosemide | 52 |
| Potassium Chloride | 33 |
| Levothyroxine Sodium | 25 |
| Tamsulosin Hcl | 23 |
| Tresiba Flextouch U-100 Insulin Degludec | 22 |
| Atorvastatin Calcium | 18 |
| Mirtazapine | 18 |
| Amlodipine Besylate | 17 |
| Baclofen | 16 |
| Escitalopram Oxalate | 15 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Acute Care Nurse Practitioner Overview
How Annetta Troche, NP fits within the Acute Care Nurse Practitioner landscape nationally.
24,697
Acute Care Nurse Practitioner Providers in US
53
States with Acute Care Nurse Practitioner
576
Avg Claims per Provider
Annetta Troche, NP's 718 claims are above the specialty average of 576.
Nearby Acute Care Nurse Practitioner Providers in Connecticut
Other clinicians with the same primary specialty enrolled in Connecticut, drawn from the same CMS NPPES roster as Troche.
Dr. Jeannette Adorno-Pacheco
APRN
Wethersfield, CT
Dr. Lauren Albano
APRN
Hartford, CT
Dr. Ashley Allen
AG-ACNP-BC
New Haven, CT
Dr. Jill Alsgaard
APRN
Farmington, CT
Dr. Kristina Amato
APRN
Hartford, CT
Compare Acute 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 Connecticut medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Acute 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.
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Frequently Asked Questions
What is Annetta Troche, NP's specialty? ▼
Annetta Troche, NP specializes in Acute Care Nurse Practitioner and practices in Windsor, Connecticut. Credentials: NP.
How much does Annetta Troche, NP prescribe under Medicare Part D? ▼
In 2023, Annetta Troche, NP wrote 718 Medicare Part D claims totaling $33K in drug costs for 130 beneficiaries.
What is Annetta Troche, NP's Medicare quality score? ▼
Annetta Troche, NP has a CMS MIPS Final Score of 89.4/100 (Quality: 78.2, Cost: 71.3). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Annetta Troche, NP located? ▼
Annetta Troche, NP is located at 22 PARKWOOD DRIVE, Windsor, CT, 06095. Phone: (860) 683-8949.
What is Annetta Troche, NP's NPI number? ▼
Annetta Troche, NP's National Provider Identifier (NPI) is 1265780894, issued on 08/29/2012.
Does Annetta Troche, NP prescribe more brand-name or generic drugs? ▼
Annetta Troche, NP's prescribing is 15% brand-name and 83% generic drugs by claim count, with $15K in brand drug costs.
Does Annetta Troche, NP prescribe opioids? ▼
Yes, Annetta Troche, NP had 26 opioid claims in 2023 with an opioid prescribing rate of 3.6%.
How many Acute Care Nurse Practitioner providers are there in the US? ▼
There are 24,697 Acute Care Nurse Practitioner providers across 53 states in the US. The average Acute Care Nurse Practitioner provider writes 576 Medicare Part D claims per year.
What drugs does Annetta Troche, NP prescribe most often? ▼
Based on 2023 Medicare Part D data, Annetta Troche, NP's most frequently prescribed drugs include Furosemide, Potassium Chloride, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Annetta Troche, NP accept Medicare? ▼
Annetta Troche, NP appears in CMS Medicare data with 718 Part D claims and 130 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Annetta Troche, NP's credentials? ▼
Annetta Troche, NP's NPI is 1265780894 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 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.