2026 NPPES data Gerontology Nurse Practitioner NPI 1437451903 APRN-RX
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ASHLEY RIVERA, APRN-RX

Gerontology Nurse Practitioner in PEARL CITY, Hawaii. 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
4K
Medicare Part D claims · 221 beneficiaries · Gerontology Nurse Practitioner avg: 1K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
68.4697/100
▼ 15 pts below national avg 83.1 · [object Object]
What the federal data reveals: ASHLEY RIVERA, APRN-RX is a Gerontology Nurse Practitioner ([object Object]) practicing in PEARL CITY, Hawaii with a Medicare Part D prescribing footprint of 4K claims across 221 beneficiaries — 11% brand-name prescribing . Their CMS MIPS Final Score of 68.4697/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: ASHLEY RIVERA, APRN-RX reported a CMS MIPS final score of 68.4697 out of 100, below the 83.1 national average, and filed 3,746 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

ASHLEY RIVERA, APRN-RX at a glance

Below national average

NPI registry status

Active

Issued 12/03/2010

NPI 1437451903

Primary specialty

Gerontology Nurse Practitioner

Mid-sized

9,625 US NPIs in this specialty

Medicare Part D claims

3,746 192% vs specialty avg

2023 prescription claims

Specialty avg: 1,283

MIPS final score

68.4697/100 14.630299999999991% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Hawaii

How Gerontology Nurse Practitioner compares to other specialties among Hawaii providers

Hawaii providers

Gerontology Nurse Practitioner share within Hawaii

1. Gerontology Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gerontology Nurse Practitioner share within Hawaii

Medicare quality performance — MIPS

ASHLEY RIVERA, APRN-RX's 2023 MIPS final score plotted against the Gerontology Nurse Practitioner national average

Below national average
MIPS Final Score
68.4697/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gerontology Nurse Practitioner) — 68.4697/100 vs national avg 83.1

0%100%National avg83%68.5%
MIPS final score (Gerontology Nurse Practitioner) — 68.4697/100 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).

ASHLEY RIVERA, APRN-RX is a Gerontology Nurse Practitioner provider practicing in PEARL CITY, Hawaii, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: APRN-RX. NPI: 1437451903. 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.

ASHLEY RIVERA, APRN-RX appears in the CMS NPPES registry as a Gerontology Nurse Practitioner provider holding APRN-RX credentials at 1790 PAAILUNA WAY, PEARL CITY, HI, 96782, with a listed phone of (808) 466-9113. NPI 1437451903 was issued on 12/03/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what RIVERA 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 3,746 prescription claims written by this provider, covering 221 Medicare beneficiaries and totaling roughly $465K in drug spend, split 11% brand-name and 89% 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 68.4697/100 for the 2023 performance year (Quality 65.9263, Cost 38.837), compared with the national average of 83.1.

Gerontology Nurse Practitioner is a mid-sized specialty nationwide, with 9,625 enrolled providers across 54 states and an average of 1,283 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

1790 PAAILUNA WAY
PEARL CITY, HI 96782

Provider Details

NPI 1437451903
Specialty Gerontology Nurse Practitioner
Credentials APRN-RX
Gender Female
NPI Issued 12/03/2010

CMS Quality Score (MIPS)

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

68.4697
Final Score
Avg: 83.1
65.9263
Quality
38.837
Cost
85
Promoting Interoperability

Reporting: Group practice

Brand vs generic prescribing mix · Typical

ASHLEY RIVERA, APRN-RX — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 3,746 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.

3,746
Total Claims
$465K
Total Drug Cost
221
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
7,220
Total Day Supply
211,483
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$352K
Generic Drug Cost
$111K
Antibiotic Claims
98

Patient Demographics

Average Patient Age
83.7 years
Avg HCC Risk Score
2.08
Gender Split
66% female / 34% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Trazodone Hcl
296
Atorvastatin Calcium
226
Amlodipine Besylate
225
Quetiapine Fumarate
145
Metoprolol Succinate
128
Tamsulosin Hcl
101
Losartan Potassium
85
Donepezil Hcl
83
Citalopram Hbr
Citalopram Hydrobromide
78
Risperidone
78

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

Gerontology Nurse Practitioner Overview

How ASHLEY RIVERA, APRN-RX fits within the Gerontology Nurse Practitioner landscape nationally.

9,625
Gerontology Nurse Practitioner Providers in US
54
States with Gerontology Nurse Practitioner
1,283
Avg Claims per Provider

ASHLEY RIVERA, APRN-RX's 3,746 claims are above the specialty average of 1,283.

Nearby Gerontology Nurse Practitioner Providers in Hawaii

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

Compare Gerontology Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is ASHLEY RIVERA, APRN-RX's specialty?
ASHLEY RIVERA, APRN-RX specializes in Gerontology Nurse Practitioner and practices in PEARL CITY, Hawaii. Credentials: APRN-RX.
How much does ASHLEY RIVERA, APRN-RX prescribe under Medicare Part D?
In 2023, ASHLEY RIVERA, APRN-RX wrote 3,746 Medicare Part D claims totaling $465K in drug costs for 221 beneficiaries.
What is ASHLEY RIVERA, APRN-RX's Medicare quality score?
ASHLEY RIVERA, APRN-RX has a CMS MIPS Final Score of 68.4697/100 (Quality: 65.9263, Cost: 38.837). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ASHLEY RIVERA, APRN-RX located?
ASHLEY RIVERA, APRN-RX is located at 1790 PAAILUNA WAY, PEARL CITY, HI, 96782. Phone: (808) 466-9113.
What is ASHLEY RIVERA, APRN-RX's NPI number?
ASHLEY RIVERA, APRN-RX's National Provider Identifier (NPI) is 1437451903, issued on 12/03/2010.
Does ASHLEY RIVERA, APRN-RX prescribe more brand-name or generic drugs?
ASHLEY RIVERA, APRN-RX's prescribing is 11% brand-name and 89% generic drugs by claim count, with $352K in brand drug costs.
How many Gerontology Nurse Practitioner providers are there in the US?
There are 9,625 Gerontology Nurse Practitioner providers across 54 states in the US. The average Gerontology Nurse Practitioner provider writes 1,283 Medicare Part D claims per year.
What drugs does ASHLEY RIVERA, APRN-RX prescribe most often?
Based on 2023 Medicare Part D data, ASHLEY RIVERA, APRN-RX's most frequently prescribed drugs include Trazodone Hcl, Atorvastatin Calcium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ASHLEY RIVERA, APRN-RX accept Medicare?
ASHLEY RIVERA, APRN-RX appears in CMS Medicare data with 3,746 Part D claims and 221 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ASHLEY RIVERA, APRN-RX's credentials?
ASHLEY RIVERA, APRN-RX's NPI is 1437451903 with credentials APRN-RX. 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