2026 NPPES data Nurse Practitioner NPI 1407866080 MSN, FNP-C, PA-C
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JOAN BUTLER, MSN, FNP-C, PA-C

Nurse Practitioner in FORTUNA, 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
3K
Medicare Part D claims · 153 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

JOAN BUTLER, MSN, FNP-C, PA-C filed 3,392 Medicare Part D claims in 2023 as a Nurse Practitioner in FORTUNA, California, prescribing 87% generic.

3K
Part D claims, 2023
87%
generic prescribing

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.

JOAN BUTLER, MSN, FNP-C, PA-C's Medicare Part D volume vs every U.S. prescriber

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

3,392 Top 10% higher than 90% 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%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. 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 JOAN BUTLER, MSN, FNP-C, PA-C?

Quality data not reported

NPI registry status

Active

Issued 08/08/2006

NPI 1407866080

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

3,392 213% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

Specialty distribution in California

How Nurse Practitioner compares to other specialties among California providers

California providers

Nurse Practitioner share within California

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

Specialty board-certification context

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

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

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

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

JOAN BUTLER, MSN, FNP-C, PA-C appears in the CMS NPPES registry as a Nurse Practitioner provider holding MSN, FNP-C, PA-C credentials at 3304 RENNER DR, FORTUNA, CA, 95540, with a listed phone of (707) 725-4477. NPI 1407866080 was issued on 08/08/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BUTLER 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 3,392 prescription claims written by this provider, covering 153 Medicare beneficiaries and totaling roughly $338K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 9.3%. 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.

Nurse Practitioner is a high-volume specialty nationwide, with 87,227 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

3304 RENNER DR
FORTUNA, CA 95540

Provider Details

NPI 1407866080
Specialty Nurse Practitioner
Credentials MSN, FNP-C, PA-C
Gender Female
NPI Issued 08/08/2006

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 JOAN BUTLER, MSN, FNP-C, PA-C. To verify JOAN BUTLER, MSN, FNP-C, PA-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.

Brand vs generic prescribing mix · Typical

JOAN BUTLER, MSN, FNP-C, PA-C — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 3,392 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.

3,392
Total Claims
$338K
Total Drug Cost
153
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
7,045
Total Day Supply
204,362
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$267K
Generic Drug Cost
$70K
Opioid Claims
316 (9.3% rate)
Antibiotic Claims
134

Patient Demographics

Average Patient Age
74.2 years
Avg HCC Risk Score
0.93
Gender Split
73% female / 27% male

Top Prescribed Drugs (Medicare Part D)

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

What JOAN BUTLER, MSN, FNP-C, PA-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
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
230
Gabapentin
118
Levothyroxine Sodium
103
Losartan Potassium
87
Metoprolol Succinate
79
Lisinopril
78
Atorvastatin Calcium
76
Amlodipine Besylate
75
Trazodone Hcl
69
Omeprazole
65

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

Nurse Practitioner Overview

How JOAN BUTLER, MSN, FNP-C, PA-C fits within the Nurse Practitioner landscape nationally.

87,227
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,084
Avg Claims per Provider

JOAN BUTLER, MSN, FNP-C, PA-C's 3,392 claims are above the specialty average of 1,084.

Nearby Nurse Practitioner Providers in California

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

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

Frequently Asked Questions

What is JOAN BUTLER, MSN, FNP-C, PA-C's specialty?
JOAN BUTLER, MSN, FNP-C, PA-C specializes in Nurse Practitioner and practices in FORTUNA, California. Credentials: MSN, FNP-C, PA-C.
How much does JOAN BUTLER, MSN, FNP-C, PA-C prescribe under Medicare Part D?
In 2023, JOAN BUTLER, MSN, FNP-C, PA-C wrote 3,392 Medicare Part D claims totaling $338K in drug costs for 153 beneficiaries.
Where is JOAN BUTLER, MSN, FNP-C, PA-C located?
JOAN BUTLER, MSN, FNP-C, PA-C is located at 3304 RENNER DR, FORTUNA, CA, 95540. Phone: (707) 725-4477.
What is JOAN BUTLER, MSN, FNP-C, PA-C's NPI number?
JOAN BUTLER, MSN, FNP-C, PA-C's National Provider Identifier (NPI) is 1407866080, issued on 08/08/2006.
Does JOAN BUTLER, MSN, FNP-C, PA-C prescribe more brand-name or generic drugs?
JOAN BUTLER, MSN, FNP-C, PA-C's prescribing is 13% brand-name and 87% generic drugs by claim count, with $267K in brand drug costs.
Does JOAN BUTLER, MSN, FNP-C, PA-C prescribe opioids?
Yes, JOAN BUTLER, MSN, FNP-C, PA-C had 316 opioid claims in 2023 with an opioid prescribing rate of 9.3%.
How many Nurse Practitioner providers are there in the US?
There are 87,227 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 JOAN BUTLER, MSN, FNP-C, PA-C prescribe most often?
Based on 2023 Medicare Part D data, JOAN BUTLER, MSN, FNP-C, PA-C's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Gabapentin, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOAN BUTLER, MSN, FNP-C, PA-C accept Medicare?
JOAN BUTLER, MSN, FNP-C, PA-C appears in CMS Medicare data with 3,392 Part D claims and 153 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOAN BUTLER, MSN, FNP-C, PA-C's credentials?
JOAN BUTLER, MSN, FNP-C, PA-C's NPI is 1407866080 with credentials MSN, FNP-C, PA-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