2026 NPPES data Nurse Practitioner NPI 1578206199 APRN
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Elaine Rosaci, APRN

Nurse Practitioner in Melbourne, Florida. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 87,227 in Nurse Practitioner, 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
328
Medicare Part D claims · 207 beneficiaries · Nurse Practitioner avg: 1K
MIPS score
96/100
▲ 13 pts above national avg 83.1 · Exceptional
Industry payments
$463.29
18 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Elaine Rosaci, APRN reported a CMS MIPS final score of 96/100 — above the 83.1 national average — and filed 328 Medicare Part D claims in 2023.

96/100
MIPS score · +13 vs avg
328
Part D claims, 2023
$463.29
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.

Elaine Rosaci, APRN's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

96 Top 21% higher than 79% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

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 Elaine Rosaci, APRN sits

This provider among nurse practitioner peers

Across the 13,476 nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Elaine Rosaci, APRN writes more Part D claims than 46% of them and scores higher on MIPS quality than 84% — placing this provider in the lower-volume, high-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.148.372.496.6Part D claim volume — percentile in specialtyMIPS quality — percentilePart D claim volume — percentile in specialty: 52 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 17 · MIPS quality — percentile: 62Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 35Part D claim volume — percentile in specialty: 70 · MIPS quality — percentile: 90Part D claim volume — percentile in specialty: 32 · MIPS quality — percentile: 23Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 90 · MIPS quality — percentile: 58Part D claim volume — percentile in specialty: 83 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 85 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 42 · MIPS quality — percentile: 37Part D claim volume — percentile in specialty: 80 · MIPS quality — percentile: 77Part D claim volume — percentile in specialty: 87 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 2 · MIPS quality — percentile: 5Part D claim volume — percentile in specialty: 68 · MIPS quality — percentile: 53Part D claim volume — percentile in specialty: 45 · MIPS quality — percentile: 38Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 65Part D claim volume — percentile in specialty: 18 · MIPS quality — percentile: 40Part D claim volume — percentile in specialty: 37 · MIPS quality — percentile: 25Part D claim volume — percentile in specialty: 100 · MIPS quality — percentile: 87Part D claim volume — percentile in specialty: 57 · MIPS quality — percentile: 20Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 8Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 93 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 88 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 72 · MIPS quality — percentile: 22Part D claim volume — percentile in specialty: 50 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 60 · MIPS quality — percentile: 58Part D claim volume — percentile in specialty: 43 · MIPS quality — percentile: 2Part D claim volume — percentile in specialty: 65 · MIPS quality — percentile: 15Part D claim volume — percentile in specialty: 12 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 82 · MIPS quality — percentile: 70Part D claim volume — percentile in specialty: 47 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 63 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 8 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 67 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 77 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 88Part D claim volume — percentile in specialty: 53 · MIPS quality — percentile: 72Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 8 · MIPS quality — percentile: 12Part D claim volume — percentile in specialty: 23 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 22 · MIPS quality — percentile: 28Part D claim volume — percentile in specialty: 98 · MIPS quality — percentile: 52Part D claim volume — percentile in specialty: 73 · MIPS quality — percentile: 78Part D claim volume — percentile in specialty: 38 · MIPS quality — percentile: 47Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 3Part D claim volume — percentile in specialty: 78 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 42Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 48Part D claim volume — percentile in specialty: 75 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 27 · MIPS quality — percentile: 55Part D claim volume — percentile in specialty: 92 · MIPS quality — percentile: 10Part D claim volume — percentile in specialty: 62 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 45Part D claim volume — percentile in specialty: 58 · MIPS quality — percentile: 80Part D claim volume — percentile in specialty: 33 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 95 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 97 · MIPS quality — percentile: 43Elaine Rosaci, APRN — Part D claim volume — percentile in specialty: 46 · MIPS quality — percentile: 84
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one nurse practitioner peer from a representative sample of 60; the gold marker is Elaine Rosaci, APRN. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Elaine Rosaci, APRN?

High performer (top quartile)

NPI registry status

Active

Issued 04/20/2022

NPI 1578206199

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

328 70% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

96/100 12.9 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Florida

How Nurse Practitioner compares to other specialties among Florida providers

Florida providers

Largest specialties in Florida (% of in-state providers)

Behavior Technician — 16.1%Behavior Technician16.1%Mental Health Counselor — 4.8%Mental Health Counselor4.8%Family Nurse Practitioner — 4.5%Family Nurse Practitioner4.5%Pharmacist — 4.2%Pharmacist4.2%Student in an Organized Health Care Education/Training Program — 3.8%Student in an Organized Health Care Education/Training Program3.8%Physical Therapist — 3.1%Physical Therapist3.1%Nurse Practitioner — 1.8%Nurse Practitioner1.8%
Largest specialties in Florida (% of in-state providers)

Medicare quality performance — MIPS

Elaine Rosaci, APRN's 2023 MIPS final score plotted against the Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
96/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) — 96/100 vs national avg 83.1

0%100%National avg83%96%
MIPS final score (Nurse Practitioner) — 96/100 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).

Elaine Rosaci, APRN appears in the CMS NPPES registry as a Nurse Practitioner provider holding APRN credentials at 1314 OAK ST, Melbourne, FL, 32901, with a listed phone of (321) 727-7992. NPI 1578206199 was issued on 04/20/2022. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Rosaci 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 328 prescription claims written by this provider, covering 207 Medicare beneficiaries and totaling roughly $4K in drug spend, with an opioid prescribing rate of 9.1%. 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 96/100 for the 2023 performance year (Quality 97.2, Cost 83.6), compared with the national average of 83.1.

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

1314 OAK ST
Melbourne, FL 32901

Provider Details

NPI 1578206199
Specialty Nurse Practitioner
Credentials APRN
Gender Female
NPI Issued 04/20/2022

CMS Quality Score (MIPS)

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

95.9825
Final Score
Avg: 83.1
97.1588
Quality
83.5714
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where Elaine Rosaci, 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.

Brevard Physician Associates PLLC
Melbourne, FL
Emergency Physicians OF Central Florida LLP
Orlando, FL
Mid-Florida Emergency Physicians, LLC
Sebring, FL

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 Elaine Rosaci, APRN. Source: openpaymentsdata.cms.gov.

Total received

$463

Largest payer

ABIOMED

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 — Florida FLDOH 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 ~75K Florida medical licensees in 2023 — they are NOT specific to Elaine Rosaci, APRN. To verify Elaine Rosaci, APRN's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida 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.

328
Total Claims
$4K
Total Drug Cost
207
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
328
Total Day Supply
2,757
Generic Drug Cost
$3K
Opioid Claims
30 (9.1% rate)
Antibiotic Claims
106

Patient Demographics

Average Patient Age
72.4 years
Avg HCC Risk Score
1.43
Gender Split
66% female / 34% male
Age Distribution
<65: 32, 65-74: 88, 75-84: 63, 85+: 24

Top Prescribed Drugs (Medicare Part D)

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

What Elaine Rosaci, APRN prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Methylprednisolone
54
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
24
Azithromycin
21
Naproxen
18
Ondansetron Odt
Ondansetron
17
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
17
Methocarbamol
13
Tramadol Hcl
13
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
12
Oxycodone Hcl
12

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

Nurse Practitioner Overview

How Elaine Rosaci, 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

Elaine Rosaci, APRN's 328 claims are below the specialty average of 1,084.

Nearby Nurse Practitioner Providers in Florida

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

Compare Nurse Practitioner 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 Florida medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Nurse Practitioner 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.

Frequently Asked Questions

What is Elaine Rosaci, APRN's specialty?
Elaine Rosaci, APRN specializes in Nurse Practitioner and practices in Melbourne, Florida. Credentials: APRN.
How much does Elaine Rosaci, APRN prescribe under Medicare Part D?
In 2023, Elaine Rosaci, APRN wrote 328 Medicare Part D claims totaling $4K in drug costs for 207 beneficiaries.
What is Elaine Rosaci, APRN's Medicare quality score?
Elaine Rosaci, APRN has a CMS MIPS Final Score of 96/100 (Quality: 97.2, Cost: 83.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Elaine Rosaci, APRN located?
Elaine Rosaci, APRN is located at 1314 OAK ST, Melbourne, FL, 32901. Phone: (321) 727-7992.
What is Elaine Rosaci, APRN's NPI number?
Elaine Rosaci, APRN's National Provider Identifier (NPI) is 1578206199, issued on 04/20/2022.
Does Elaine Rosaci, APRN prescribe opioids?
Yes, Elaine Rosaci, APRN had 30 opioid claims in 2023 with an opioid prescribing rate of 9.1%.
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 Elaine Rosaci, APRN prescribe most often?
Based on 2023 Medicare Part D data, Elaine Rosaci, APRN's most frequently prescribed drugs include Methylprednisolone, Amoxicillin-Clavulanate Potass, Azithromycin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Elaine Rosaci, APRN accept Medicare?
Elaine Rosaci, APRN appears in CMS Medicare data with 328 Part D claims and 207 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Elaine Rosaci, APRN's credentials?
Elaine Rosaci, APRN's NPI is 1578206199 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.
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.