NPI registry status
Active
2026 NPPES data Neonatal Nurse Practitioner NPI 1801055611 CRNP
Verify on CMS → James Nestor, CRNP
Neonatal Nurse Practitioner in Bethlehem, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 3,956 in Neonatal 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
4K
Medicare Part D claims · 280 beneficiaries · Neonatal Nurse Practitioner avg: 440
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$103.17
4 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
James Nestor, CRNP filed 3,735 Medicare Part D claims in 2023 as a Neonatal Nurse Practitioner in Bethlehem, Pennsylvania, prescribing 95% generic.
- 4K
- Part D claims, 2023
- 95%
- generic prescribing
- $103.17
- 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.
James Nestor, CRNP's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
3,735 Top 9% higher than 91% of 1,370,886 prescribers
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 James Nestor, CRNP?
Quality data not reportedPrimary specialty
Neonatal Nurse Practitioner
Medicare Part D claims
3,735 8× vs specialty avg
Specialty distribution in Pennsylvania
How Neonatal Nurse Practitioner compares to other specialties among Pennsylvania 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 Neonatal 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).
James Nestor, CRNP appears in the CMS NPPES registry as a Neonatal Nurse Practitioner provider holding CRNP credentials at 801 OSTRUM ST, Bethlehem, PA, 18015, with a listed phone of (610) 954-4434. NPI 1801055611 was issued on 06/06/2008.
Medicare Part D records for calendar year 2023 show 3,735 prescription claims written by this provider, covering 280 Medicare beneficiaries and totaling roughly $453K in drug spend, split 5% brand-name and 95% generic by claim count.
Neonatal Nurse Practitioner is a narrow specialty nationwide, with 3,956 enrolled providers across 51 states and an average of 440 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 | 1801055611 |
|---|---|
| Specialty | Neonatal Nurse Practitioner |
| Credentials | CRNP |
| Gender | Male |
| NPI Issued | 06/06/2008 |
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 James Nestor, CRNP. Source: openpaymentsdata.cms.gov.
Total received
$103
Largest payer
Neurocrine Biosciences, 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 - Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to James Nestor, CRNP. To verify James Nestor, CRNP's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
James Nestor, CRNP - brand share 5.0%
Neonatal Nurse Practitioner average
5% brand-name claims vs 95% generic, on 3,735 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.
3,735
Total Claims
$453K
Total Drug Cost
280
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 3,897
- Total Day Supply
- 115,588
- Brand vs Generic
- 5% brand / 95% generic
- Brand Drug Cost
- $335K
- Generic Drug Cost
- $118K
Patient Demographics
- Average Patient Age
- 57.8 years
- Avg HCC Risk Score
- 1.53
- Gender Split
- 59% female / 41% male
- Age Distribution
- <65: 181, 65-74: 81, 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 James Nestor, CRNP prescribes most
Top Medicare Part D drugs by claim count, 2023
- Benztropine Mesylate
Benztropine Mesylate
221 claims
- Olanzapine
Olanzapine
186 claims
- Buspirone Hcl
Buspirone Hcl
184 claims
- Aripiprazole
Aripiprazole
182 claims
- Quetiapine Fumarate
Quetiapine Fumarate
174 claims
- Risperidone
Risperidone
162 claims
- Sertraline Hcl
Sertraline Hcl
148 claims
- Trazodone Hcl
Trazodone Hcl
147 claims
| Drug | Claims |
|---|---|
| Benztropine Mesylate | 221 |
| Olanzapine | 186 |
| Buspirone Hcl | 184 |
| Aripiprazole | 182 |
| Quetiapine Fumarate | 174 |
| Risperidone | 162 |
| Sertraline Hcl | 148 |
| Trazodone Hcl | 147 |
| Haloperidol | 129 |
| Mirtazapine | 123 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Neonatal Nurse Practitioner Overview
How James Nestor, CRNP fits within the Neonatal Nurse Practitioner landscape nationally.
3,956
Neonatal Nurse Practitioner Providers in US
51
States with Neonatal Nurse Practitioner
440
Avg Claims per Provider
James Nestor, CRNP's 3,735 claims are above the specialty average of 440.
Nearby Neonatal Nurse Practitioner Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Nestor.
Dr. Sekinah Ajiboye
NNP-BC
Philadelphia, PA
Dr. Kacie Angely
CRNP
Pittsburgh, PA
Dr. Cathy Bailey
CRNP
Allentown, PA
Dr. Susan Barbarossa
CRNP
Greensburg, PA
Dr. Annmarie Barber
CRNP
Drexel Hill, PA
Compare Neonatal 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 Pennsylvania medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Neonatal 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.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Pennsylvania
Frequently Asked Questions
What is James Nestor, CRNP's specialty? ▼
James Nestor, CRNP specializes in Neonatal Nurse Practitioner and practices in Bethlehem, Pennsylvania. Credentials: CRNP.
How much does James Nestor, CRNP prescribe under Medicare Part D? ▼
In 2023, James Nestor, CRNP wrote 3,735 Medicare Part D claims totaling $453K in drug costs for 280 beneficiaries.
Where is James Nestor, CRNP located? ▼
James Nestor, CRNP is located at 801 OSTRUM ST, Bethlehem, PA, 18015. Phone: (610) 954-4434.
What is James Nestor, CRNP's NPI number? ▼
James Nestor, CRNP's National Provider Identifier (NPI) is 1801055611, issued on 06/06/2008.
Does James Nestor, CRNP prescribe more brand-name or generic drugs? ▼
James Nestor, CRNP's prescribing is 5% brand-name and 95% generic drugs by claim count, with $335K in brand drug costs.
How many Neonatal Nurse Practitioner providers are there in the US? ▼
There are 3,956 Neonatal Nurse Practitioner providers across 51 states in the US. The average Neonatal Nurse Practitioner provider writes 440 Medicare Part D claims per year.
What drugs does James Nestor, CRNP prescribe most often? ▼
Based on 2023 Medicare Part D data, James Nestor, CRNP's most frequently prescribed drugs include Benztropine Mesylate, Olanzapine, Buspirone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Nestor, CRNP accept Medicare? ▼
James Nestor, CRNP appears in CMS Medicare data with 3,735 Part D claims and 280 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Nestor, CRNP's credentials? ▼
James Nestor, CRNP's NPI is 1801055611 with credentials CRNP. 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
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.