2026 NPPES data Nurse Practitioner NPI 1366971616 APRN
Verify on CMS →

CHRISTINA COSS, APRN

Nurse Practitioner in RENO, Nevada. 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
545
Medicare Part D claims · 86 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
79%
generic claims · 21% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$90.94
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: CHRISTINA COSS, APRN is a Nurse Practitioner ([object Object]) practicing in RENO, Nevada with a Medicare Part D prescribing footprint of 545 claims across 86 beneficiaries — 21% brand-name prescribing . Industry payments of $90.94 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: CHRISTINA COSS, APRN filed 545 Medicare Part D claims in 2023 across RENO, Nevada. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

CHRISTINA COSS, APRN at a glance

Quality data not reported

NPI registry status

Active

Issued 06/09/2017

NPI 1366971616

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

545 50% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

Specialty distribution in Nevada

How Nurse Practitioner compares to other specialties among Nevada providers

Nevada providers

Nurse Practitioner share within Nevada

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

Specialty board-certification context

Estimated specialty board-certified rate — Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Nurse Practitioner) — ABMS / AOA estimate

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).

CHRISTINA COSS, APRN is a Nurse Practitioner provider practicing in RENO, Nevada, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: APRN. NPI: 1366971616. 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.

CHRISTINA COSS, APRN appears in the CMS NPPES registry as a Nurse Practitioner provider holding APRN credentials at 21 LOCUST ST, RENO, NV, 89502, with a listed phone of (775) 982-5000. NPI 1366971616 was issued on 06/09/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what COSS 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 545 prescription claims written by this provider, covering 86 Medicare beneficiaries and totaling roughly $64K in drug spend, split 21% brand-name and 79% generic by claim count, with an opioid prescribing rate of 3.7%. 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.

Nurse Practitioner is a high-volume specialty nationwide, with 87,227 enrolled providers across 56 states and an average of 1,084 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

21 LOCUST ST
RENO, NV 89502

Provider Details

NPI 1366971616
Specialty Nurse Practitioner
Credentials APRN
Gender Female
NPI Issued 06/09/2017

Hospital and facility affiliations

Facilities where CHRISTINA COSS, APRN 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.

COMMUNITY CARE SERVICES LLC
RENO, NV
YANG MEDICAL SERVICES PLLC
LAS VEGAS, NV

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 CHRISTINA COSS, APRN. Source: openpaymentsdata.cms.gov.

Total received

$91

Largest payer

Lilly USA, LLC

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.

Brand vs generic prescribing mix · Typical

CHRISTINA COSS, APRN — brand share 21.0%
Specialty average (est.)

21% brand-name claims vs 79% generic, on 545 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.

545
Total Claims
$64K
Total Drug Cost
86
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
805
Total Day Supply
23,005
Brand vs Generic
21% brand / 79% generic
Brand Drug Cost
$56K
Generic Drug Cost
$6K
Opioid Claims
20 (3.7% rate)

Patient Demographics

Average Patient Age
65.8 years
Avg HCC Risk Score
1.16
Gender Split
58% female / 42% male
Age Distribution
<65: 23, 65-74: 54, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Omeprazole
37
Atorvastatin Calcium
29
Amlodipine Besylate
20
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
17
Jardiance
Empagliflozin
17
Levothyroxine Sodium
17
Tamsulosin Hcl
15
Albuterol Sulfate Hfa
Albuterol Sulfate
14
Losartan Potassium
14
Trulicity
Dulaglutide
14

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

Nurse Practitioner Overview

How CHRISTINA COSS, APRN fits within the Nurse Practitioner landscape nationally.

87,227
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,084
Avg Claims per Provider

CHRISTINA COSS, APRN's 545 claims are below the specialty average of 1,084.

Nearby Nurse Practitioner Providers in Nevada

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

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

Frequently Asked Questions

What is CHRISTINA COSS, APRN's specialty?
CHRISTINA COSS, APRN specializes in Nurse Practitioner and practices in RENO, Nevada. Credentials: APRN.
How much does CHRISTINA COSS, APRN prescribe under Medicare Part D?
In 2023, CHRISTINA COSS, APRN wrote 545 Medicare Part D claims totaling $64K in drug costs for 86 beneficiaries.
Where is CHRISTINA COSS, APRN located?
CHRISTINA COSS, APRN is located at 21 LOCUST ST, RENO, NV, 89502. Phone: (775) 982-5000.
What is CHRISTINA COSS, APRN's NPI number?
CHRISTINA COSS, APRN's National Provider Identifier (NPI) is 1366971616, issued on 06/09/2017.
Does CHRISTINA COSS, APRN prescribe more brand-name or generic drugs?
CHRISTINA COSS, APRN's prescribing is 21% brand-name and 79% generic drugs by claim count, with $56K in brand drug costs.
Does CHRISTINA COSS, APRN prescribe opioids?
Yes, CHRISTINA COSS, APRN had 20 opioid claims in 2023 with an opioid prescribing rate of 3.7%.
How many Nurse Practitioner providers are there in the US?
There are 87,227 Nurse Practitioner providers across 56 states in the US. The average Nurse Practitioner provider writes 1,084 Medicare Part D claims per year.
What drugs does CHRISTINA COSS, APRN prescribe most often?
Based on 2023 Medicare Part D data, CHRISTINA COSS, APRN's most frequently prescribed drugs include Omeprazole, Atorvastatin Calcium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CHRISTINA COSS, APRN accept Medicare?
CHRISTINA COSS, APRN appears in CMS Medicare data with 545 Part D claims and 86 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CHRISTINA COSS, APRN's credentials?
CHRISTINA COSS, APRN's NPI is 1366971616 with credentials APRN. 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.
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