NPI registry status
Active
2026 NPPES data Psychiatric/Mental Health Nurse Practitioner NPI 1952059958 PMHNP-BC
Verify on CMS → Esther Fires, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in West Lake Hills, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 40,776 in Psychiatric/Mental Health 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
327
Medicare Part D claims · 15 beneficiaries · Psychiatric/Mental Health Nurse Practitioner avg: 927
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$24.25
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Esther Fires, PMHNP-BC filed 327 Medicare Part D claims in 2023 as a Psychiatric/Mental Health Nurse Practitioner in West Lake Hills, Texas, prescribing 83% generic.
- 327
- Part D claims, 2023
- 83%
- generic prescribing
- $24.25
- industry payments (Sunshine Act)
- ≥57th
- pct by Part D claim volume (lower-bound band)
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.
CMS NPPES provider registry desk
NPI 1952059958 · Psychiatric/Mental Health Nurse Practitioner
NPI-10 · ENUM-RECENT · TAX-MID · RX-LIGHT · BOOK-LIGHT · PHOTO-ENUM
- NPI-10 1952059958
- ENUM-RECENT 2022
- TAX-MID 41K Psychiatric/Mental Health
- RX-LIGHT 327
- BOOK-LIGHT 3,207 in Texas
- PHOTO-ENUM Joshua Backens · 2022
Esther Fires, PMHNP-BC's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
327 ≥ 57th percentile 57% of 1,370,886 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2023
What does the federal data show about Esther Fires, PMHNP-BC?
Quality data not reportedPrimary specialty
Psychiatric/Mental Health Nurse Practitioner
Medicare Part D claims
327 65% vs specialty avg
Specialty distribution in Texas
How Psychiatric/Mental Health Nurse Practitioner compares to other specialties among Texas providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Psychiatric/Mental Health Nurse Practitioner. Verify directly:
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).
Practice Address
Provider Details
| NPI | 1952059958 |
|---|---|
| Specialty | Psychiatric/Mental Health Nurse Practitioner |
| Credentials | PMHNP-BC |
| Gender | Female |
| NPI Issued | 03/17/2022 |
Hospital and facility affiliations
Facilities where Esther Fires, PMHNP-BC 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.
Austin Travis County Mental Health And Mental Retardation Center
Austin, TX
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 Esther Fires, PMHNP-BC. Source: openpaymentsdata.cms.gov.
Total received
$24
Largest payer
Alkermes, 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 - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to Esther Fires, PMHNP-BC. To verify Esther Fires, PMHNP-BC's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Esther Fires, PMHNP-BC - brand share 17.0%
Psychiatric/Mental Health Nurse Practitioner average
17% brand-name claims vs 83% generic, on 327 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.
327
Total Claims
$75K
Total Drug Cost
15
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 350
- Total Day Supply
- 8,403
- Brand vs Generic
- 17% brand / 83% generic
- Brand Drug Cost
- $71K
- Generic Drug Cost
- $3K
Patient Demographics
- Average Patient Age
- 64.5 years
- Avg HCC Risk Score
- 1.32
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Esther Fires, PMHNP-BC prescribes most
Top Medicare Part D drugs by claim count, 2023
- Fluoxetine Hcl
Fluoxetine Hcl
33 claims
- Gabapentin
Gabapentin
28 claims
- Lybalvi
Lybalvi
24 claims
- Buspirone Hcl
Buspirone Hcl
19 claims
- Rexulti
Rexulti
15 claims
- Lamotrigine
Lamotrigine
14 claims
- Olanzapine
Olanzapine
14 claims
- Quetiapine Fumarate
Quetiapine Fumarate
14 claims
| Drug | Claims |
|---|---|
| Fluoxetine Hcl | 33 |
| Gabapentin | 28 |
| Lybalvi Olanzapine/Samidorphan Malate | 24 |
| Buspirone Hcl | 19 |
| Rexulti Brexpiprazole | 15 |
| Lamotrigine | 14 |
| Olanzapine | 14 |
| Quetiapine Fumarate | 14 |
| Clonazepam | 13 |
| Hydroxyzine Hcl | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Psychiatric/Mental Health Nurse Practitioner in TX →
All providers in Texas →
Compare specialties →
Psychiatric/Mental Health Nurse Practitioner Overview
How Esther Fires, PMHNP-BC fits within the Psychiatric/Mental Health Nurse Practitioner landscape nationally.
40,776
Psychiatric/Mental Health Nurse Practitioner Providers in US
54
States with Psychiatric/Mental Health Nurse Practitioner
927
Avg Claims per Provider
Esther Fires, PMHNP-BC's 327 claims are below the specialty average of 927.
Nationwide Psychiatric/Mental Health Nurse Practitioner peers with similar MIPS or enrollment year
Two federal-record peer sets for Fires, both outside Texas so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2022)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Psychiatric/Mental Health Nurse Practitioner Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Fires.
One of 3,207 Psychiatric/Mental Health Nurse Practitioner providers enrolled in Texas, 5 are shown here.
Victoria Aaron-Chukwunyere
Rosenberg, TX
Dr. Chinyere Abakasanga
PMHNP
Richmond, TX
Dr. Adeline Abam
APRN-CNP
Fort Worth, TX
Julius Abam
Midlothian, TX
Dr. Kellie Abbee
NP
Southlake, TX
Compare Psychiatric/Mental Health Nurse Practitioner nationally: see state-by-state distribution →
Frequently Asked Questions
What is Esther Fires, PMHNP-BC's specialty? ▼
Esther Fires, PMHNP-BC specializes in Psychiatric/Mental Health Nurse Practitioner and practices in West Lake Hills, Texas. Credentials: PMHNP-BC.
How much does Esther Fires, PMHNP-BC prescribe under Medicare Part D? ▼
In 2023, Esther Fires, PMHNP-BC wrote 327 Medicare Part D claims totaling $75K in drug costs for 15 beneficiaries.
Where is Esther Fires, PMHNP-BC located? ▼
Esther Fires, PMHNP-BC is located at 5524 BEE CAVES RD STE H2, West Lake Hills, TX, 78746. Phone: (512) 710-0551.
What is Esther Fires, PMHNP-BC's NPI number? ▼
Esther Fires, PMHNP-BC's National Provider Identifier (NPI) is 1952059958, issued on 03/17/2022.
Does Esther Fires, PMHNP-BC prescribe more brand-name or generic drugs? ▼
Esther Fires, PMHNP-BC's prescribing is 17% brand-name and 83% generic drugs by claim count, with $71K in brand drug costs.
How many Psychiatric/Mental Health Nurse Practitioner providers are there in the US? ▼
There are 40,776 Psychiatric/Mental Health Nurse Practitioner providers across 54 states in the US. The average Psychiatric/Mental Health Nurse Practitioner provider writes 927 Medicare Part D claims per year.
What drugs does Esther Fires, PMHNP-BC prescribe most often? ▼
Based on 2023 Medicare Part D data, Esther Fires, PMHNP-BC's most frequently prescribed drugs include Fluoxetine Hcl, Gabapentin, Lybalvi. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Esther Fires, PMHNP-BC accept Medicare? ▼
Esther Fires, PMHNP-BC appears in CMS Medicare data with 327 Part D claims and 15 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Esther Fires, PMHNP-BC's credentials? ▼
Esther Fires, PMHNP-BC's NPI is 1952059958 with credentials PMHNP-BC. 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.
- 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
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.