JULIE KEWANYAMA, APRN appears in the CMS NPPES registry as a Gastroenterology Registered Nurse provider holding APRN credentials at 1385 VISTA LN, CARSON CITY, NV, 89703, with a listed phone of (775) 329-4600. NPI 1447879010 was issued on 04/13/2020. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KEWANYAMA 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 462 prescription claims written by this provider, covering 155 Medicare beneficiaries and totaling roughly $209K in drug spend, split 17% brand-name and 83% generic by claim count. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 29.4336/100 for the 2023 performance year (Quality 12.9664, Cost 60.1457), compared with the national average of 83.1.

Gastroenterology Registered Nurse is a narrow specialty nationwide, with 398 enrolled providers across 46 states and an average of 878 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.