2026 NPPES data School Nurse Practitioner NPI 1861154577 NP
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DAVID TWIETMEYER, NP

School Nurse Practitioner in TACOMA, 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
253
Medicare Part D claims · 176 beneficiaries · School Nurse Practitioner avg: 725
Industry payments
$142.78
3 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: DAVID TWIETMEYER, NP is a School Nurse Practitioner ([object Object]) practicing in TACOMA, Washington with a Medicare Part D prescribing footprint of 253 claims across 176 beneficiaries . Industry payments of $142.78 across 3 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: DAVID TWIETMEYER, NP filed 253 Medicare Part D claims in 2023 across TACOMA, Washington. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

DAVID TWIETMEYER, NP at a glance

Quality data not reported

NPI registry status

Active

Issued 10/10/2021

NPI 1861154577

Primary specialty

School Nurse Practitioner

Rare

211 US NPIs in this specialty

Medicare Part D claims

253 65% vs specialty avg

2023 prescription claims

Specialty avg: 725

Specialty distribution in Washington

How School Nurse Practitioner compares to other specialties among Washington providers

Washington providers

School Nurse Practitioner share within Washington

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

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (School 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).

DAVID TWIETMEYER, NP is a School Nurse Practitioner provider practicing in TACOMA, Washington, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: NP. NPI: 1861154577. 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.

DAVID TWIETMEYER, NP appears in the CMS NPPES registry as a School Nurse Practitioner provider holding NP credentials at 2420 S UNION AVE STE 120, TACOMA, WA, 98405, with a listed phone of (253) 563-0198. NPI 1861154577 was issued on 10/10/2021. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what TWIETMEYER 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 253 prescription claims written by this provider, covering 176 Medicare beneficiaries and totaling roughly $10K in drug spend. 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.

School Nurse Practitioner is a narrow specialty nationwide, with 211 enrolled providers across 40 states and an average of 725 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

2420 S UNION AVE STE 120
TACOMA, WA 98405

Provider Details

NPI 1861154577
Specialty School Nurse Practitioner
Credentials NP
Gender Male
NPI Issued 10/10/2021

Hospital and facility affiliations

Facilities where DAVID TWIETMEYER, 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.

DISPATCHHEALTH WASHINGTON PC
TACOMA, 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 DAVID TWIETMEYER, NP. Source: openpaymentsdata.cms.gov.

Total received

$143

Largest payer

Boston Scientific Corporation

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 DAVID TWIETMEYER, NP. To verify DAVID TWIETMEYER, NP'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.

253
Total Claims
$10K
Total Drug Cost
176
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
254
Total Day Supply
2,619
Generic Drug Cost
$4K
Antibiotic Claims
105

Patient Demographics

Average Patient Age
74.9 years
Avg HCC Risk Score
2.51
Gender Split
71% female / 29% male
Age Distribution
<65: 31, 65-74: 48, 75-84: 51, 85+: 46

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Cephalexin
27
Albuterol Sulfate Hfa
Albuterol Sulfate
18
Cefpodoxime Proxetil
16
Doxycycline Hyclate
14
Prednisone
11

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

School Nurse Practitioner Overview

How DAVID TWIETMEYER, NP fits within the School Nurse Practitioner landscape nationally.

211
School Nurse Practitioner Providers in US
40
States with School Nurse Practitioner
725
Avg Claims per Provider

DAVID TWIETMEYER, NP's 253 claims are below the specialty average of 725.

Nearby School Nurse Practitioner Providers in Washington

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

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

Frequently Asked Questions

What is DAVID TWIETMEYER, NP's specialty?
DAVID TWIETMEYER, NP specializes in School Nurse Practitioner and practices in TACOMA, Washington. Credentials: NP.
How much does DAVID TWIETMEYER, NP prescribe under Medicare Part D?
In 2023, DAVID TWIETMEYER, NP wrote 253 Medicare Part D claims totaling $10K in drug costs for 176 beneficiaries.
Where is DAVID TWIETMEYER, NP located?
DAVID TWIETMEYER, NP is located at 2420 S UNION AVE STE 120, TACOMA, WA, 98405. Phone: (253) 563-0198.
What is DAVID TWIETMEYER, NP's NPI number?
DAVID TWIETMEYER, NP's National Provider Identifier (NPI) is 1861154577, issued on 10/10/2021.
How many School Nurse Practitioner providers are there in the US?
There are 211 School Nurse Practitioner providers across 40 states in the US. The average School Nurse Practitioner provider writes 725 Medicare Part D claims per year.
What drugs does DAVID TWIETMEYER, NP prescribe most often?
Based on 2023 Medicare Part D data, DAVID TWIETMEYER, NP's most frequently prescribed drugs include Cephalexin, Albuterol Sulfate Hfa, Cefpodoxime Proxetil. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DAVID TWIETMEYER, NP accept Medicare?
DAVID TWIETMEYER, NP appears in CMS Medicare data with 253 Part D claims and 176 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DAVID TWIETMEYER, NP's credentials?
DAVID TWIETMEYER, NP's NPI is 1861154577 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

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