NPI registry status
Active
2026 NPPES data Psychiatric/Mental Health Nurse Practitioner NPI 1154075885 PMHNP
Verify on CMS → John Sensiba, PMHNP
Psychiatric/Mental Health Nurse Practitioner in South Jordan, Utah.
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
374
Medicare Part D claims · 27 beneficiaries · Psychiatric/Mental Health Nurse Practitioner avg: 927
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
99.5/100
▲ 16 pts above national avg 83.5 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
John Sensiba, PMHNP reported a CMS MIPS final score of 99.5/100 - above the 83.5 national average - and filed 374 Medicare Part D claims in 2023.
- 99.5/100
- MIPS score · +16 vs avg
- 374
- Part D claims, 2023
- 95%
- generic prescribing
- ≥91st
- pct among measured MIPS (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.
John Sensiba, PMHNP's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
100 ≥ 91st percentile 91% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. 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 whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where John Sensiba, PMHNP sits
This provider among psychiatric/mental health nurse practitioner peers
Across the 1,808 psychiatric/mental health nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, John Sensiba, PMHNP writes more Part D claims than 44% of them and scores higher on MIPS quality than 93% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one psychiatric/mental health nurse practitioner peer from a representative sample of 60; the gold marker is John Sensiba, PMHNP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about John Sensiba, PMHNP?
High performer (top quartile)Primary specialty
Psychiatric/Mental Health Nurse Practitioner
Medicare Part D claims
374 60% vs specialty avg
MIPS final score
99.5/100 16 pts vs avg
Specialty distribution in Utah
How Psychiatric/Mental Health Nurse Practitioner compares to other specialties among Utah providers
Medicare quality performance, MIPS
John Sensiba, PMHNP's 2023 MIPS final score plotted against the Psychiatric/Mental Health Nurse Practitioner national average
- MIPS Final Score
- 99.5/100
- vs 83.5 national avg · 2023 performance year
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).
John Sensiba, PMHNP appears in the CMS NPPES registry as a Psychiatric/Mental Health Nurse Practitioner provider holding PMHNP credentials at 5126 W DAYBREAK PKWY, South Jordan, UT, 84009, with a listed phone of (801) 213-4500. NPI 1154075885 was issued on 02/10/2022.
Medicare Part D records for calendar year 2023 show 374 prescription claims written by this provider, covering 27 Medicare beneficiaries and totaling roughly $29K in drug spend, split 5% brand-name and 95% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 99.5/100 for the 2023 performance year (Quality 91.6), compared with the 83.5 average among clinicians with a measured score.
Psychiatric/Mental Health Nurse Practitioner is a mid-sized specialty nationwide, with 40,776 enrolled providers across 54 states and an average of 927 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 | 1154075885 |
|---|---|
| Specialty | Psychiatric/Mental Health Nurse Practitioner |
| Credentials | PMHNP |
| Gender | Male |
| NPI Issued | 02/10/2022 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
99.4749
Final Score
Measured-score avg: 83.5
91.5741
Quality
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where John Sensiba, PMHNP 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.
University OF Utah Behavioral Health Services
Salt Lake City, UT
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Generic-heavy
John Sensiba, PMHNP - brand share 5.0%
Psychiatric/Mental Health Nurse Practitioner average
5% brand-name claims vs 95% generic, on 374 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.
374
Total Claims
$29K
Total Drug Cost
27
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 508
- Total Day Supply
- 14,767
- Brand vs Generic
- 5% brand / 95% generic
- Brand Drug Cost
- $19K
- Generic Drug Cost
- $10K
Patient Demographics
- Average Patient Age
- 58.7 years
- Avg HCC Risk Score
- 1.20
- Gender Split
- 59% female / 41% male
- Age Distribution
- <65: 15, 65-74: N/A, 75-84: N/A, 85+: 0
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What John Sensiba, PMHNP prescribes most
Top Medicare Part D drugs by claim count, 2023
- Sertraline Hcl
Sertraline Hcl
41 claims
- Quetiapine Fumarate
Quetiapine Fumarate
35 claims
- Lamotrigine
Lamotrigine
23 claims
- Fluoxetine Hcl
Fluoxetine Hcl
19 claims
- Mirtazapine
Mirtazapine
19 claims
- Divalproex Sodium Er 15
Divalproex Sodium Er
15 claims
- Prazosin Hcl 15
Prazosin Hcl
15 claims
- Olanzapine 14
Olanzapine
14 claims
| Drug | Claims |
|---|---|
| Sertraline Hcl | 41 |
| Quetiapine Fumarate | 35 |
| Lamotrigine | 23 |
| Fluoxetine Hcl | 19 |
| Mirtazapine | 19 |
| Divalproex Sodium Er Divalproex Sodium | 15 |
| Prazosin Hcl | 15 |
| Olanzapine | 14 |
| Duloxetine Hcl | 13 |
| Buspirone Hcl | 12 |
* 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 UT →
All providers in Utah →
Compare specialties →
Psychiatric/Mental Health Nurse Practitioner Overview
How John Sensiba, PMHNP 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
John Sensiba, PMHNP's 374 claims are below the specialty average of 927.
Nearby Psychiatric/Mental Health Nurse Practitioner Providers in Utah
Other clinicians with the same primary specialty enrolled in Utah, drawn from the same CMS NPPES roster as Sensiba.
Dr. Kathryn Adams
APRN
St George, UT
Tara Agee
Salt Lake City, UT
Dr. Michael Ah You
DNP, PMHNP-BC
Payson, UT
Dr. Samantha Allan
APRN
Draper, UT
Dr. Amy Allen
APRN
Murray, UT
Compare Psychiatric/Mental Health 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 Utah medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Psychiatric/Mental Health 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.
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Frequently Asked Questions
What is John Sensiba, PMHNP's specialty? ▼
John Sensiba, PMHNP specializes in Psychiatric/Mental Health Nurse Practitioner and practices in South Jordan, Utah. Credentials: PMHNP.
How much does John Sensiba, PMHNP prescribe under Medicare Part D? ▼
In 2023, John Sensiba, PMHNP wrote 374 Medicare Part D claims totaling $29K in drug costs for 27 beneficiaries.
What is John Sensiba, PMHNP's Medicare quality score? ▼
John Sensiba, PMHNP has a CMS MIPS Final Score of 99.5/100 (Quality: 91.6). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is John Sensiba, PMHNP located? ▼
John Sensiba, PMHNP is located at 5126 W DAYBREAK PKWY, South Jordan, UT, 84009. Phone: (801) 213-4500.
What is John Sensiba, PMHNP's NPI number? ▼
John Sensiba, PMHNP's National Provider Identifier (NPI) is 1154075885, issued on 02/10/2022.
Does John Sensiba, PMHNP prescribe more brand-name or generic drugs? ▼
John Sensiba, PMHNP's prescribing is 5% brand-name and 95% generic drugs by claim count, with $19K 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 John Sensiba, PMHNP prescribe most often? ▼
Based on 2023 Medicare Part D data, John Sensiba, PMHNP's most frequently prescribed drugs include Sertraline Hcl, Quetiapine Fumarate, Lamotrigine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does John Sensiba, PMHNP accept Medicare? ▼
John Sensiba, PMHNP appears in CMS Medicare data with 374 Part D claims and 27 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John Sensiba, PMHNP's credentials? ▼
John Sensiba, PMHNP's NPI is 1154075885 with credentials PMHNP. 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.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- 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.