NPI registry status
Active
2026 NPPES data Nurse Practitioner NPI 1396881256 APN
Verify on CMS → Erika Graul, APN
Nurse Practitioner in Carson City, Nevada.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 87,700 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
2K
Medicare Part D claims · 244 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
0%
generic claims · 68% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.2/100
▼ 7 pts below national avg 83.1 · Above neutral
Industry payments
$1.7K
72 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Erika Graul, APN reported a CMS MIPS final score of 76.2/100 - below the 83.1 national average - and filed 1,655 Medicare Part D claims in 2023.
- 76.2/100
- MIPS score · -7 vs avg
- 2K
- Part D claims, 2023
- 0%
- generic prescribing
- $1.7K
- 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.
Erika Graul, APN's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
76 21st percentile higher than 21% 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 Erika Graul, APN 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, Erika Graul, APN writes more Part D claims than 80% of them and scores higher on MIPS quality than 19% - 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 nurse practitioner peer from a representative sample of 60; the gold marker is Erika Graul, APN. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Erika Graul, APN?
Below national averagePrimary specialty
Nurse Practitioner
Medicare Part D claims
1,655 53% vs specialty avg
MIPS final score
76.2/100 6.9 pts vs avg
Specialty distribution in Nevada
How Nurse Practitioner compares to other specialties among Nevada providers
Medicare quality performance, MIPS
Erika Graul, APN's 2023 MIPS final score plotted against the Nurse Practitioner national average
- MIPS Final Score
- 76.2/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Nurse Practitioner) - 76.2/100 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).
Erika Graul, APN appears in the CMS NPPES registry as a Nurse Practitioner provider holding APN credentials at 200 BATH ST, Carson City, NV, 89703, with a listed phone of (775) 841-2100. NPI 1396881256 was issued on 01/29/2007.
Medicare Part D records for calendar year 2023 show 1,655 prescription claims written by this provider, covering 244 Medicare beneficiaries and totaling roughly $619K in drug spend, split 68% brand-name and 0% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 76.2/100 for the 2023 performance year (Quality 70.8, Cost 59.8), compared with the national average of 83.1.
Nurse Practitioner is a high-volume specialty nationwide, with 87,700 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
Provider Details
| NPI | 1396881256 |
|---|---|
| Specialty | Nurse Practitioner |
| Credentials | APN |
| Gender | Female |
| NPI Issued | 01/29/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
76.2302
Final Score
Avg: 83.1
70.7535
Quality
59.7625
Cost
Reporting: Group practice
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 Erika Graul, APN. Source: openpaymentsdata.cms.gov.
Total received
$1.7K
Largest payer
GlaxoSmithKline, 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 · Brand-heavy
Erika Graul, APN - brand share 68.0%
Nurse Practitioner average
68% brand-name claims vs 0% generic, on 1,655 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.
1,655
Total Claims
$619K
Total Drug Cost
244
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,315
- Total Day Supply
- 65,299
- Brand vs Generic
- 68% brand / 0% generic
- Brand Drug Cost
- $609K
- Antibiotic Claims
- 91
Patient Demographics
- Average Patient Age
- 72.2 years
- Avg HCC Risk Score
- 1.91
- Gender Split
- 60% female / 40% male
- Age Distribution
- <65: 41, 65-74: 97, 75-84: 85, 85+: 21
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Erika Graul, APN prescribes most
Top Medicare Part D drugs by claim count, 2023
- Albuterol Sulfate …
Albuterol Sulfate Hfa
294 claims
- Trelegy Ellipta
Trelegy Ellipta
272 claims
- Breztri Aerosphere 109
Breztri Aerosphere
109 claims
- Prednisone 109
Prednisone
109 claims
- Montelukast Sodium 85
Montelukast Sodium
85 claims
- Anoro Ellipta 74
Anoro Ellipta
74 claims
- Advair Diskus 71
Advair Diskus
71 claims
- Ventolin Hfa 69
Ventolin Hfa
69 claims
| Drug | Claims |
|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 294 |
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 272 |
| Breztri Aerosphere Budesonide/Glycopyr/Formoterol | 109 |
| Prednisone | 109 |
| Montelukast Sodium | 85 |
| Anoro Ellipta Umeclidinium Brm/Vilanterol Tr | 74 |
| Advair Diskus Fluticasone Propion/Salmeterol | 71 |
| Ventolin Hfa Albuterol Sulfate | 69 |
| Azithromycin | 57 |
| Symbicort Budesonide/Formoterol Fumarate | 48 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Nurse Practitioner Overview
How Erika Graul, APN fits within the Nurse Practitioner landscape nationally.
87,700
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,084
Avg Claims per Provider
Erika Graul, APN's 1,655 claims are above 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 Graul.
Dr. Zakir Abdu
APRN
Pahrumph, NV
Dr. Bernadette Abregunda
PMHNP
Las Vegas, NV
Dr. Shiva Adham
NP
Reno, NV
Dr. Ronald Adlaon
FNP-BC
Henderson, NV
Robert Adlerstein
Las Vegas, NV
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 Nevada 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.
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Frequently Asked Questions
What is Erika Graul, APN's specialty? ▼
Erika Graul, APN specializes in Nurse Practitioner and practices in Carson City, Nevada. Credentials: APN.
How much does Erika Graul, APN prescribe under Medicare Part D? ▼
In 2023, Erika Graul, APN wrote 1,655 Medicare Part D claims totaling $619K in drug costs for 244 beneficiaries.
What is Erika Graul, APN's Medicare quality score? ▼
Erika Graul, APN has a CMS MIPS Final Score of 76.2/100 (Quality: 70.8, Cost: 59.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Erika Graul, APN located? ▼
Erika Graul, APN is located at 200 BATH ST, Carson City, NV, 89703. Phone: (775) 841-2100.
What is Erika Graul, APN's NPI number? ▼
Erika Graul, APN's National Provider Identifier (NPI) is 1396881256, issued on 01/29/2007.
Does Erika Graul, APN prescribe more brand-name or generic drugs? ▼
Erika Graul, APN's prescribing is 68% brand-name and 0% generic drugs by claim count, with $609K in brand drug costs.
How many Nurse Practitioner providers are there in the US? ▼
There are 87,700 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 Erika Graul, APN prescribe most often? ▼
Based on 2023 Medicare Part D data, Erika Graul, APN's most frequently prescribed drugs include Albuterol Sulfate Hfa, Trelegy Ellipta, Breztri Aerosphere. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Erika Graul, APN accept Medicare? ▼
Erika Graul, APN appears in CMS Medicare data with 1,655 Part D claims and 244 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Erika Graul, APN's credentials? ▼
Erika Graul, APN's NPI is 1396881256 with credentials APN. 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.