2026 NPPES data Home Health Registered Nurse NPI 1538727607 MSN, RN, FNP-C
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JANA SPEDALIERE, MSN, RN, FNP-C

Home Health Registered Nurse in PALO ALTO, 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
434
Medicare Part D claims · 113 beneficiaries · Home Health Registered Nurse avg: 1K

What the federal data shows

JANA SPEDALIERE, MSN, RN, FNP-C filed 434 Medicare Part D claims in 2023 as a Home Health Registered Nurse in PALO ALTO, California.

434
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.

JANA SPEDALIERE, MSN, RN, FNP-C's Medicare Part D volume vs every U.S. prescriber

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

434 Top 38% higher than 62% 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%). This entry sits in this band. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 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 JANA SPEDALIERE, MSN, RN, FNP-C?

Quality data not reported

NPI registry status

Active

Issued 06/03/2019

NPI 1538727607

Primary specialty

Home Health Registered Nurse

Mid-sized

9,170 US NPIs in this specialty

Medicare Part D claims

434 58% vs specialty avg

2023 prescription claims

Specialty avg: 1,026

Specialty distribution in California

How Home Health Registered Nurse compares to other specialties among California providers

California providers

Home Health Registered Nurse share within California

1. Home Health Registered Nurse42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Home Health Registered Nurse share within California

Specialty board-certification context

Estimated specialty board-certified rate — Home Health Registered Nurse (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Home Health Registered Nurse ABMS/AOA estimate

Est. board-certified rate (Home Health Registered Nurse) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Home Health Registered Nurse) — 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).

JANA SPEDALIERE, MSN, RN, FNP-C appears in the CMS NPPES registry as a Home Health Registered Nurse provider holding MSN, RN, FNP-C credentials at 195 PAGE MILL RD STE 103, PALO ALTO, CA, 94306, with a listed phone of (888) 731-8994. NPI 1538727607 was issued on 06/03/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SPEDALIERE 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 434 prescription claims written by this provider, covering 113 Medicare beneficiaries and totaling roughly $29K in drug spend, with an opioid prescribing rate of 5.1%. 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.

Home Health Registered Nurse is a mid-sized specialty nationwide, with 9,170 enrolled providers across 55 states and an average of 1,026 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

195 PAGE MILL RD STE 103
PALO ALTO, CA 94306

Provider Details

NPI 1538727607
Specialty Home Health Registered Nurse
Credentials MSN, RN, FNP-C
Gender Female
NPI Issued 06/03/2019

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 JANA SPEDALIERE, MSN, RN, FNP-C. To verify JANA SPEDALIERE, MSN, RN, FNP-C'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.

434
Total Claims
$29K
Total Drug Cost
113
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
837
Total Day Supply
23,807
Generic Drug Cost
$9K
Opioid Claims
22 (5.1% rate)
Antibiotic Claims
22

Patient Demographics

Average Patient Age
75.0 years
Avg HCC Risk Score
1.59
Gender Split
61% female / 39% male

Top Prescribed Drugs (Medicare Part D)

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

What JANA SPEDALIERE, MSN, RN, FNP-C 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
Lisinopril
44
Amlodipine Besylate
25
Levothyroxine Sodium
19
Metoprolol Tartrate
19
Atorvastatin Calcium
16
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
14
Finasteride
12
Irbesartan
12
Simvastatin
12
Donepezil Hcl
11

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

Home Health Registered Nurse Overview

How JANA SPEDALIERE, MSN, RN, FNP-C fits within the Home Health Registered Nurse landscape nationally.

9,170
Home Health Registered Nurse Providers in US
55
States with Home Health Registered Nurse
1,026
Avg Claims per Provider

JANA SPEDALIERE, MSN, RN, FNP-C's 434 claims are below the specialty average of 1,026.

Nearby Home Health Registered Nurse Providers in California

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

Compare Home Health Registered Nurse nationally: see state-by-state distribution →

Frequently Asked Questions

What is JANA SPEDALIERE, MSN, RN, FNP-C's specialty?
JANA SPEDALIERE, MSN, RN, FNP-C specializes in Home Health Registered Nurse and practices in PALO ALTO, California. Credentials: MSN, RN, FNP-C.
How much does JANA SPEDALIERE, MSN, RN, FNP-C prescribe under Medicare Part D?
In 2023, JANA SPEDALIERE, MSN, RN, FNP-C wrote 434 Medicare Part D claims totaling $29K in drug costs for 113 beneficiaries.
Where is JANA SPEDALIERE, MSN, RN, FNP-C located?
JANA SPEDALIERE, MSN, RN, FNP-C is located at 195 PAGE MILL RD STE 103, PALO ALTO, CA, 94306. Phone: (888) 731-8994.
What is JANA SPEDALIERE, MSN, RN, FNP-C's NPI number?
JANA SPEDALIERE, MSN, RN, FNP-C's National Provider Identifier (NPI) is 1538727607, issued on 06/03/2019.
Does JANA SPEDALIERE, MSN, RN, FNP-C prescribe opioids?
Yes, JANA SPEDALIERE, MSN, RN, FNP-C had 22 opioid claims in 2023 with an opioid prescribing rate of 5.1%.
How many Home Health Registered Nurse providers are there in the US?
There are 9,170 Home Health Registered Nurse providers across 55 states in the US. The average Home Health Registered Nurse provider writes 1,026 Medicare Part D claims per year.
What drugs does JANA SPEDALIERE, MSN, RN, FNP-C prescribe most often?
Based on 2023 Medicare Part D data, JANA SPEDALIERE, MSN, RN, FNP-C's most frequently prescribed drugs include Lisinopril, Amlodipine Besylate, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JANA SPEDALIERE, MSN, RN, FNP-C accept Medicare?
JANA SPEDALIERE, MSN, RN, FNP-C appears in CMS Medicare data with 434 Part D claims and 113 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JANA SPEDALIERE, MSN, RN, FNP-C's credentials?
JANA SPEDALIERE, MSN, RN, FNP-C's NPI is 1538727607 with credentials MSN, RN, FNP-C. 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