NPI registry status
Active
2026 NPPES data Community Health Registered Nurse NPI 1407480312
Verify on CMS → Cayla Alexander
Community Health Registered Nurse in Seattle, Washington.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 7,593 in Community Health Registered Nurse, 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
682
Medicare Part D claims · 146 beneficiaries · Community Health Registered Nurse avg: 918
MIPS score
83.8/100
▲ 1 pts above national avg 83.1 · Above neutral
Industry payments
$3.2K
132 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Cayla Alexander reported a CMS MIPS final score of 83.8/100 - above the 83.1 national average - and filed 682 Medicare Part D claims in 2023.
- 83.8/100
- MIPS score · +1 vs avg
- 682
- Part D claims, 2023
- $3.2K
- 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.
Cayla Alexander's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
84 42nd percentile higher than 42% 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 Cayla Alexander sits
This provider among community health registered nurse peers
Across the 21 community health registered nurse providers who report both Medicare Part D prescribing and a MIPS quality score, Cayla Alexander writes more Part D claims than 52% of them and scores higher on MIPS quality than 33% - placing this provider in the high-volume, lower-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 community health registered nurse peer from a representative sample of 20; the gold marker is Cayla Alexander. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Cayla Alexander?
Near national averagePrimary specialty
Community Health Registered Nurse
Medicare Part D claims
682 26% vs specialty avg
MIPS final score
83.8/100 0.7 pts vs avg
Specialty distribution in Washington
How Community Health Registered Nurse compares to other specialties among Washington providers
Medicare quality performance, MIPS
Cayla Alexander's 2023 MIPS final score plotted against the Community Health Registered Nurse national average
- MIPS Final Score
- 83.8/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Community Health Registered Nurse) - 83.8/100 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).
Cayla Alexander appears in the CMS NPPES registry as a Community Health Registered Nurse provider at 1229 MADISON ST STE 1450, Seattle, WA, 98104, with a listed phone of (206) 844-6001. NPI 1407480312 was issued on 02/29/2020.
Medicare Part D records for calendar year 2023 show 682 prescription claims written by this provider, covering 146 Medicare beneficiaries and totaling roughly $831K in drug spend, with an opioid prescribing rate of 5.6%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 83.8/100 for the 2023 performance year (Quality 74.3), compared with the national average of 83.1.
Community Health Registered Nurse is a mid-sized specialty nationwide, with 7,593 enrolled providers across 53 states and an average of 918 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 | 1407480312 |
|---|---|
| Specialty | Community Health Registered Nurse |
| Gender | Female |
| NPI Issued | 02/29/2020 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
83.8101
Final Score
Avg: 83.1
74.2614
Quality
80
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Cayla Alexander 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.
Seattle Rheumatology Associates PLLC
Seattle, 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 Cayla Alexander. Source: openpaymentsdata.cms.gov.
Total received
$3.2K
Largest payer
ABBVIE 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 Cayla Alexander. To verify Cayla Alexander'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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
682
Total Claims
$831K
Total Drug Cost
146
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,260
- Total Day Supply
- 36,500
- Generic Drug Cost
- $17K
- Opioid Claims
- 38 (5.6% rate)
Patient Demographics
- Average Patient Age
- 72.8 years
- Avg HCC Risk Score
- 1.35
- Gender Split
- 70% female / 30% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Cayla Alexander prescribes most
Top Medicare Part D drugs by claim count, 2023
- Methotrexate
Methotrexate
91 claims
- Prednisone
Prednisone
86 claims
- Hydroxychloroquine…
Hydroxychloroquine Sulfate
56 claims
- Meloxicam
Meloxicam
38 claims
- Folic Acid 33
Folic Acid
33 claims
- Rinvoq 31
Rinvoq
31 claims
- Diclofenac Sodium 29
Diclofenac Sodium
29 claims
- Tramadol Hcl 29
Tramadol Hcl
29 claims
| Drug | Claims |
|---|---|
| Methotrexate Methotrexate Sodium | 91 |
| Prednisone | 86 |
| Hydroxychloroquine Sulfate | 56 |
| Meloxicam | 38 |
| Folic Acid | 33 |
| Rinvoq Upadacitinib | 31 |
| Diclofenac Sodium | 29 |
| Tramadol Hcl | 29 |
| Gabapentin | 28 |
| Duloxetine Hcl | 25 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Community Health Registered Nurse Overview
How Cayla Alexander fits within the Community Health Registered Nurse landscape nationally.
7,593
Community Health Registered Nurse Providers in US
53
States with Community Health Registered Nurse
918
Avg Claims per Provider
Cayla Alexander's 682 claims are below the specialty average of 918.
Nearby Community Health Registered Nurse Providers in Washington
Other clinicians with the same primary specialty enrolled in Washington, drawn from the same CMS NPPES roster as Alexander.
Dr. Hope Achenbach
RN
Keller, WA
Dr. Emilie Afualo
RN
Yakima, WA
Dr. Maria Aguado
RN
Mount Vernon, WA
Dr. Heather Almon
RN, IBCLC
Renton, WA
Dr. Barbara Anderson
RN, CNM
Seattle, WA
Compare Community Health Registered Nurse 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 Washington medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Community Health Registered Nurse 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 Cayla Alexander's specialty? ▼
Cayla Alexander specializes in Community Health Registered Nurse and practices in Seattle, Washington.
How much does Cayla Alexander prescribe under Medicare Part D? ▼
In 2023, Cayla Alexander wrote 682 Medicare Part D claims totaling $831K in drug costs for 146 beneficiaries.
What is Cayla Alexander's Medicare quality score? ▼
Cayla Alexander has a CMS MIPS Final Score of 83.8/100 (Quality: 74.3). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Cayla Alexander located? ▼
Cayla Alexander is located at 1229 MADISON ST STE 1450, Seattle, WA, 98104. Phone: (206) 844-6001.
What is Cayla Alexander's NPI number? ▼
Cayla Alexander's National Provider Identifier (NPI) is 1407480312, issued on 02/29/2020.
Does Cayla Alexander prescribe opioids? ▼
Yes, Cayla Alexander had 38 opioid claims in 2023 with an opioid prescribing rate of 5.6%.
How many Community Health Registered Nurse providers are there in the US? ▼
There are 7,593 Community Health Registered Nurse providers across 53 states in the US. The average Community Health Registered Nurse provider writes 918 Medicare Part D claims per year.
What drugs does Cayla Alexander prescribe most often? ▼
Based on 2023 Medicare Part D data, Cayla Alexander's most frequently prescribed drugs include Methotrexate, Prednisone, Hydroxychloroquine Sulfate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Cayla Alexander accept Medicare? ▼
Cayla Alexander appears in CMS Medicare data with 682 Part D claims and 146 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Cayla Alexander's credentials? ▼
Cayla Alexander's NPI is 1407480312. 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.