2026 NPPES data Primary Care Nurse Practitioner NPI 1992166839 FNP
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HEATHER COUCH, FNP

Primary Care Nurse Practitioner in SANTA CRUZ, California. 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
805
Medicare Part D claims · 132 beneficiaries · Primary Care Nurse Practitioner avg: 1K

What the federal data shows

HEATHER COUCH, FNP filed 805 Medicare Part D claims in 2023 as a Primary Care Nurse Practitioner in SANTA CRUZ, California.

805
Part D claims, 2023

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.

HEATHER COUCH, FNP's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

805 Top 27% higher than 73% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). This entry sits in this band. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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.

Source CMS Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about HEATHER COUCH, FNP?

Quality data not reported

NPI registry status

Active

Issued 03/18/2016

NPI 1992166839

Primary specialty

Primary Care Nurse Practitioner

Mid-sized

10,138 US NPIs in this specialty

Medicare Part D claims

805 41% vs specialty avg

2023 prescription claims

Specialty avg: 1,363

Specialty distribution in California

How Primary Care Nurse Practitioner compares to other specialties among California providers

California providers

Primary Care Nurse Practitioner share within California

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

Specialty board-certification context

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

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

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

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

HEATHER COUCH, FNP appears in the CMS NPPES registry as a Primary Care Nurse Practitioner provider holding FNP credentials at 1080 EMELINE AVE, SANTA CRUZ, CA, 95060, with a listed phone of (831) 454-4100. NPI 1992166839 was issued on 03/18/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what COUCH 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 805 prescription claims written by this provider, covering 132 Medicare beneficiaries and totaling roughly $134K in drug spend, with an opioid prescribing rate of 1.7%. 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.

Primary Care Nurse Practitioner is a mid-sized specialty nationwide, with 10,138 enrolled providers across 54 states and an average of 1,363 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

1080 EMELINE AVE
SANTA CRUZ, CA 95060

Provider Details

NPI 1992166839
Specialty Primary Care Nurse Practitioner
Credentials FNP
Gender Female
NPI Issued 03/18/2016

Hospital and facility affiliations

Facilities where HEATHER COUCH, FNP 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.

COUNTY OF SANTA CRUZ
SANTA CRUZ, CA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to HEATHER COUCH, FNP. To verify HEATHER COUCH, FNP's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California 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.

805
Total Claims
$134K
Total Drug Cost
132
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,413
Total Day Supply
40,852
Generic Drug Cost
$28K
Opioid Claims
14 (1.7% rate)
Antibiotic Claims
11

Patient Demographics

Average Patient Age
63.4 years
Avg HCC Risk Score
1.12
Gender Split
45% female / 55% male
Age Distribution
<65: 49, 65-74: 67, 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.

What HEATHER COUCH, FNP 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
Atorvastatin Calcium
76
Lisinopril
49
Metformin Hcl
44
Fluticasone Propionate
32
Gabapentin
27
Famotidine
24
Levothyroxine Sodium
23
Amlodipine Besylate
20
Buprenorphine Hcl
20
Metoprolol Tartrate
18

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

Primary Care Nurse Practitioner Overview

How HEATHER COUCH, FNP fits within the Primary Care Nurse Practitioner landscape nationally.

10,138
Primary Care Nurse Practitioner Providers in US
54
States with Primary Care Nurse Practitioner
1,363
Avg Claims per Provider

HEATHER COUCH, FNP's 805 claims are below the specialty average of 1,363.

Nearby Primary Care Nurse Practitioner Providers in California

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

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

Frequently Asked Questions

What is HEATHER COUCH, FNP's specialty?
HEATHER COUCH, FNP specializes in Primary Care Nurse Practitioner and practices in SANTA CRUZ, California. Credentials: FNP.
How much does HEATHER COUCH, FNP prescribe under Medicare Part D?
In 2023, HEATHER COUCH, FNP wrote 805 Medicare Part D claims totaling $134K in drug costs for 132 beneficiaries.
Where is HEATHER COUCH, FNP located?
HEATHER COUCH, FNP is located at 1080 EMELINE AVE, SANTA CRUZ, CA, 95060. Phone: (831) 454-4100.
What is HEATHER COUCH, FNP's NPI number?
HEATHER COUCH, FNP's National Provider Identifier (NPI) is 1992166839, issued on 03/18/2016.
Does HEATHER COUCH, FNP prescribe opioids?
Yes, HEATHER COUCH, FNP had 14 opioid claims in 2023 with an opioid prescribing rate of 1.7%.
How many Primary Care Nurse Practitioner providers are there in the US?
There are 10,138 Primary Care Nurse Practitioner providers across 54 states in the US. The average Primary Care Nurse Practitioner provider writes 1,363 Medicare Part D claims per year.
What drugs does HEATHER COUCH, FNP prescribe most often?
Based on 2023 Medicare Part D data, HEATHER COUCH, FNP's most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Metformin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HEATHER COUCH, FNP accept Medicare?
HEATHER COUCH, FNP appears in CMS Medicare data with 805 Part D claims and 132 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HEATHER COUCH, FNP's credentials?
HEATHER COUCH, FNP's NPI is 1992166839 with credentials FNP. 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