2026 NPPES data Community Health Registered Nurse NPI 1407480312
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CAYLA ALEXANDER

Community Health Registered Nurse in SEATTLE, Washington. 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
682
Medicare Part D claims · 146 beneficiaries · Community Health Registered Nurse avg: 918
MIPS score
83.8101/100
▲ 1 pts above national avg 83.1 · [object Object]
Industry payments
$3.2K
132 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: CAYLA ALEXANDER is a Community Health Registered Nurse ([object Object]) practicing in SEATTLE, Washington with a Medicare Part D prescribing footprint of 682 claims across 146 beneficiaries . Their CMS MIPS Final Score of 83.8101/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $3.2K across 132 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: CAYLA ALEXANDER reported a CMS MIPS final score of 83.8101 out of 100, above the 83.1 national average, and filed 682 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

CAYLA ALEXANDER at a glance

Near national average

NPI registry status

Active

Issued 02/29/2020

NPI 1407480312

Primary specialty

Community Health Registered Nurse

Mid-sized

7,585 US NPIs in this specialty

Medicare Part D claims

682 26% vs specialty avg

2023 prescription claims

Specialty avg: 918

MIPS final score

83.8101/100 0.7101000000000113% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Washington

How Community Health Registered Nurse compares to other specialties among Washington providers

Washington providers

Community Health Registered Nurse share within Washington

1. Community Health Registered Nurse42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Community Health Registered Nurse share within Washington

Medicare quality performance — MIPS

CAYLA ALEXANDER's 2023 MIPS final score plotted against the Community Health Registered Nurse national average

Near national average
MIPS Final Score
83.8101/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Community Health Registered Nurse) — 83.8101/100 vs national avg 83.1

0%100%National avg83%83.8%
MIPS final score (Community Health Registered Nurse) — 83.8101/100 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).

CAYLA ALEXANDER is a Community Health Registered Nurse provider practicing in SEATTLE, Washington, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1407480312. 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.

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ALEXANDER 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 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%. 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 83.8101/100 for the 2023 performance year (Quality 74.2614), compared with the national average of 83.1.

Community Health Registered Nurse is a mid-sized specialty nationwide, with 7,585 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

1229 MADISON ST STE 1450
SEATTLE, WA 98104

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.

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.

7,585
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.

Compare Community Health Registered Nurse nationally: see state-by-state distribution →

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 83.8101/100 (Quality: 74.2614). 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 7,585 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

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