NPI registry status
Active
2026 NPPES data Gastroenterology Registered Nurse NPI 1447879010 APRN
Verify on CMS → Julie Kewanyama, APRN
Gastroenterology Registered Nurse in Carson City, Nevada.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 401 in Gastroenterology Registered Nurse, 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
462
Medicare Part D claims · 155 beneficiaries · Gastroenterology Registered Nurse avg: 878
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
29.4/100
▼ 54 pts below national avg 83.1 · Below average
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
Julie Kewanyama, APRN reported a CMS MIPS final score of 29.4/100 - below the 83.1 national average - and filed 462 Medicare Part D claims in 2023.
- 29.4/100
- MIPS score · -54 vs avg
- 462
- Part D claims, 2023
- 83%
- 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.
Julie Kewanyama, APRN's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
29 3rd percentile higher than 3% of 477,587 scored providers
Each bar is a band; taller bars hold more scored 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.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
What does the federal data show about Julie Kewanyama, APRN?
Below national averagePrimary specialty
Gastroenterology Registered Nurse
Medicare Part D claims
462 47% vs specialty avg
MIPS final score
29.4/100 53.7 pts vs avg
Specialty distribution in Nevada
How Gastroenterology Registered Nurse compares to other specialties among Nevada providers
Medicare quality performance, MIPS
Julie Kewanyama, APRN's 2023 MIPS final score plotted against the Gastroenterology Registered Nurse national average
- MIPS Final Score
- 29.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Gastroenterology Registered Nurse) - 29.4/100 vs national avg 83.1
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).
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.
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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 29.4/100 for the 2023 performance year (Quality 13, Cost 60.1), compared with the national average of 83.1.
Gastroenterology Registered Nurse is a narrow specialty nationwide, with 401 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.
Practice Address
Provider Details
| NPI | 1447879010 |
|---|---|
| Specialty | Gastroenterology Registered Nurse |
| Credentials | APRN |
| Gender | Female |
| NPI Issued | 04/13/2020 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
29.4336
Final Score
Avg: 83.1
12.9664
Quality
60.1457
Cost
0
Promoting Interoperability
Reporting: Group practice
Brand vs generic prescribing mix · Typical
Julie Kewanyama, APRN - brand share 17.0%
Gastroenterology Registered Nurse average
17% brand-name claims vs 83% generic, on 462 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.
462
Total Claims
$209K
Total Drug Cost
155
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 835
- Total Day Supply
- 24,673
- Brand vs Generic
- 17% brand / 83% generic
- Brand Drug Cost
- $188K
- Generic Drug Cost
- $21K
Patient Demographics
- Average Patient Age
- 72.9 years
- Avg HCC Risk Score
- 1.36
- Gender Split
- 67% female / 33% male
- Age Distribution
- <65: 13, 65-74: 85, 75-84: 46, 85+: 11
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Julie Kewanyama, APRN prescribes most
Top Medicare Part D drugs by claim count, 2023
- Omeprazole
Omeprazole
98 claims
- Pantoprazole Sodium
Pantoprazole Sodium
96 claims
- Creon 36
Creon
36 claims
- Famotidine 26
Famotidine
26 claims
- Esomeprazole Magne… 24
Esomeprazole Magnesium
24 claims
- Ursodiol 17
Ursodiol
17 claims
- Cholestyramine 14
Cholestyramine
14 claims
- Dicyclomine Hcl 13
Dicyclomine Hcl
13 claims
| Drug | Claims |
|---|---|
| Omeprazole | 98 |
| Pantoprazole Sodium | 96 |
| Creon Lipase/Protease/Amylase | 36 |
| Famotidine | 26 |
| Esomeprazole Magnesium | 24 |
| Ursodiol | 17 |
| Cholestyramine Cholestyramine (With Sugar) | 14 |
| Dicyclomine Hcl | 13 |
| Spironolactone | 12 |
| Linzess Linaclotide | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Gastroenterology Registered Nurse Overview
How Julie Kewanyama, APRN fits within the Gastroenterology Registered Nurse landscape nationally.
401
Gastroenterology Registered Nurse Providers in US
46
States with Gastroenterology Registered Nurse
878
Avg Claims per Provider
Julie Kewanyama, APRN's 462 claims are below the specialty average of 878.
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 Nevada medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Gastroenterology Registered Nurse 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 Julie Kewanyama, APRN's specialty? ▼
Julie Kewanyama, APRN specializes in Gastroenterology Registered Nurse and practices in Carson City, Nevada. Credentials: APRN.
How much does Julie Kewanyama, APRN prescribe under Medicare Part D? ▼
In 2023, Julie Kewanyama, APRN wrote 462 Medicare Part D claims totaling $209K in drug costs for 155 beneficiaries.
What is Julie Kewanyama, APRN's Medicare quality score? ▼
Julie Kewanyama, APRN has a CMS MIPS Final Score of 29.4/100 (Quality: 13, Cost: 60.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Julie Kewanyama, APRN located? ▼
Julie Kewanyama, APRN is located at 1385 VISTA LN, Carson City, NV, 89703. Phone: (775) 329-4600.
What is Julie Kewanyama, APRN's NPI number? ▼
Julie Kewanyama, APRN's National Provider Identifier (NPI) is 1447879010, issued on 04/13/2020.
Does Julie Kewanyama, APRN prescribe more brand-name or generic drugs? ▼
Julie Kewanyama, APRN's prescribing is 17% brand-name and 83% generic drugs by claim count, with $188K in brand drug costs.
How many Gastroenterology Registered Nurse providers are there in the US? ▼
There are 401 Gastroenterology Registered Nurse providers across 46 states in the US. The average Gastroenterology Registered Nurse provider writes 878 Medicare Part D claims per year.
What drugs does Julie Kewanyama, APRN prescribe most often? ▼
Based on 2023 Medicare Part D data, Julie Kewanyama, APRN's most frequently prescribed drugs include Omeprazole, Pantoprazole Sodium, Creon. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Julie Kewanyama, APRN accept Medicare? ▼
Julie Kewanyama, APRN appears in CMS Medicare data with 462 Part D claims and 155 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Julie Kewanyama, APRN's credentials? ▼
Julie Kewanyama, APRN's NPI is 1447879010 with credentials APRN. 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
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.