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2026 NPPES data Certified Registered Nurse Anesthetist NPI 1992393995 DNP, FNP
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Julie Natale, DNP, FNP

Certified Registered Nurse Anesthetist in Rochester, New York.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 62,644 in Certified Registered Nurse Anesthetist, 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
324
Medicare Part D claims · 97 beneficiaries · Certified Registered Nurse Anesthetist avg: 282
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.8/100
▼ 7 pts below national avg 83.5 · Above neutral
Industry payments
$112.09
1 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Julie Natale, DNP, FNP reported a CMS MIPS final score of 76.8/100 - below the 83.5 national average - and filed 324 Medicare Part D claims in 2023.

76.8/100
MIPS score · -7 vs avg
324
Part D claims, 2023
93%
generic prescribing
$112.09
industry payments (Sunshine Act)

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.

CMS NPPES provider registry desk

NPI 1992393995 · Certified Registered Nurse Anesthetist

NPI-10 · ENUM-RECENT · TAX-MEGA · MIPS-BELOW · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1992393995
  • ENUM-RECENT 2021
  • TAX-MEGA 63K Certified Registered
  • MIPS-BELOW 76.8/100
  • RX-LIGHT 324
  • BOOK-LIGHT 1,992 in New York
  • PHOTO-FINISH Vektra Casler · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Julie Natale, DNP, FNP'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.

77 ≥ 17th percentile 17% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). This entry sits in this band. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

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 Julie Natale, DNP, FNP sits

This provider among certified registered nurse anesthetist peers

Across the 52 certified registered nurse anesthetist providers who report both Medicare Part D prescribing and a MIPS quality score, Julie Natale, DNP, FNP writes more Part D claims than 87% of them and scores higher on MIPS quality than 12% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 94 · MIPS quality, percentile: 86Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 39Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 84Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 6Point, Part D claim volume, percentile in specialty: 69 · MIPS quality, percentile: 31Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 29 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 96Point, Part D claim volume, percentile in specialty: 96 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 84 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 49 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 41Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 69Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 76Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 31Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 49 · MIPS quality, percentile: 31Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 24Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 61 · MIPS quality, percentile: 49Point, Part D claim volume, percentile in specialty: 14 · MIPS quality, percentile: 49Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 49Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 100Point, Part D claim volume, percentile in specialty: 71 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 29 · MIPS quality, percentile: 49Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 69Point, Part D claim volume, percentile in specialty: 39 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 4 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 61Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 29Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 4Point, Part D claim volume, percentile in specialty: 14 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 6 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 49Point, Part D claim volume, percentile in specialty: 86 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 59Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 41 · MIPS quality, percentile: 98Julie Natale, DNP, FNP, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 12
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one certified registered nurse anesthetist peer from a representative sample of 51; the gold marker is Julie Natale, DNP, FNP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Julie Natale, DNP, FNP?

Below national average

NPI registry status

Active

Issued 01/05/2021

NPI 1992393995

Primary specialty

Certified Registered Nurse Anesthetist

High-volume

62,644 US NPIs in this specialty

Medicare Part D claims

324 15% vs specialty avg

2023 prescription claims

Specialty avg: 282

MIPS final score

76.8/100 6.7 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in New York

How Certified Registered Nurse Anesthetist compares to other specialties among New York providers

New York providers
Student in an Organized Heal…7.8%Registered Nurse5.2%Clinical Social Worker4.9%Social Worker4.5%Speech-Language Pathologist4.5%Licensed Practical Nurse4.3%Certified Registered Nurse A…0.4%
Largest specialties in New York (% of in-state providers)

Medicare quality performance, MIPS

Julie Natale, DNP, FNP's 2023 MIPS final score plotted against the Certified Registered Nurse Anesthetist national average

Below national average
MIPS Final Score
76.8/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%76.8%
MIPS final score (Certified Registered Nurse Anesthetist) - 76.8/100 vs national avg 83.5
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).

Practice Address

601 ELMWOOD AVE
Rochester, NY 14642
(585) 486-0600

Provider Details

NPI 1992393995
Specialty Certified Registered Nurse Anesthetist
Credentials DNP, FNP
Gender Female
NPI Issued 01/05/2021

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

76.8466
Final Score
Measured-score avg: 83.5
68.2024
Quality
42.684
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Julie Natale, DNP, FNP 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 Rochester
Rochester, NY

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Julie Natale, DNP, FNP. Source: openpaymentsdata.cms.gov.

Total received

$112

Largest payer

Gilead Sciences, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to Julie Natale, DNP, FNP. To verify Julie Natale, DNP, FNP's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

Julie Natale, DNP, FNP - brand share 7.0%
Certified Registered Nurse Anesthetist average

7% brand-name claims vs 93% generic, on 324 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.

324
Total Claims
$45K
Total Drug Cost
97
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
635
Total Day Supply
18,249
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$18K
Generic Drug Cost
$27K
Opioid Claims
18 (5.6% rate)

Patient Demographics

Average Patient Age
75.2 years
Avg HCC Risk Score
1.82

Top Prescribed Drugs (Medicare Part D)

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

What Julie Natale, DNP, FNP 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
Anastrozole
 92
Letrozole
 65
Exemestane
 25
Tamoxifen Citrate
 23
Eliquis
Apixaban
15

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

More Certified Registered Nurse Anesthetist in NY → All providers in New York → Compare specialties →

Certified Registered Nurse Anesthetist Overview

How Julie Natale, DNP, FNP fits within the Certified Registered Nurse Anesthetist landscape nationally.

62,644
Certified Registered Nurse Anesthetist Providers in US
55
States with Certified Registered Nurse Anesthetist
282
Avg Claims per Provider

Julie Natale, DNP, FNP's 324 claims are above the specialty average of 282.

Nationwide Certified Registered Nurse Anesthetist peers with similar MIPS or enrollment year

Two federal-record peer sets for Natale, both outside New York so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (76.8 here).

Vektra Casler 76.8 FL Lindsey Clark 76.8 SC Courtney Hall 76.8 SC Virginia Kearse 76.8 SC

Same NPPES enumeration year (2021)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Savanah Hess Seattle, WA Cassie Hudson Sheffield, AL Anthony Harmon Tacoma, WA Yaro Hoffman McComb, MS

Nearby Certified Registered Nurse Anesthetist Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Natale.

One of 1,992 Certified Registered Nurse Anesthetist providers enrolled in New York, 5 are shown here.

Mariebelle Abelarde
Flushing, NY
Dr. Grace Abogunrin
CRNA
Bronx, NY
Libu Abraham
Valhalla, NY
Dr. Nikil Abraham
CRNA
Manhasset, NY
Dr. Margaret Abran
CRNA
Norwich, NY

Compare Certified Registered Nurse Anesthetist nationally: see state-by-state distribution →

Frequently Asked Questions

What is Julie Natale, DNP, FNP's specialty? ▼
Julie Natale, DNP, FNP specializes in Certified Registered Nurse Anesthetist and practices in Rochester, New York. Credentials: DNP, FNP.
How much does Julie Natale, DNP, FNP prescribe under Medicare Part D? ▼
In 2023, Julie Natale, DNP, FNP wrote 324 Medicare Part D claims totaling $45K in drug costs for 97 beneficiaries.
What is Julie Natale, DNP, FNP's Medicare quality score? ▼
Julie Natale, DNP, FNP has a CMS MIPS Final Score of 76.8/100 (Quality: 68.2, Cost: 42.7). 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 Julie Natale, DNP, FNP located? ▼
Julie Natale, DNP, FNP is located at 601 ELMWOOD AVE, Rochester, NY, 14642. Phone: (585) 486-0600.
What is Julie Natale, DNP, FNP's NPI number? ▼
Julie Natale, DNP, FNP's National Provider Identifier (NPI) is 1992393995, issued on 01/05/2021.
Does Julie Natale, DNP, FNP prescribe more brand-name or generic drugs? ▼
Julie Natale, DNP, FNP's prescribing is 7% brand-name and 93% generic drugs by claim count, with $18K in brand drug costs.
Does Julie Natale, DNP, FNP prescribe opioids? ▼
Yes, Julie Natale, DNP, FNP had 18 opioid claims in 2023 with an opioid prescribing rate of 5.6%.
How many Certified Registered Nurse Anesthetist providers are there in the US? ▼
There are 62,644 Certified Registered Nurse Anesthetist providers across 55 states in the US. The average Certified Registered Nurse Anesthetist provider writes 282 Medicare Part D claims per year.
What drugs does Julie Natale, DNP, FNP prescribe most often? ▼
Based on 2023 Medicare Part D data, Julie Natale, DNP, FNP's most frequently prescribed drugs include Anastrozole, Letrozole, Exemestane. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Julie Natale, DNP, FNP accept Medicare? ▼
Julie Natale, DNP, FNP appears in CMS Medicare data with 324 Part D claims and 97 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Julie Natale, DNP, FNP's credentials? ▼
Julie Natale, DNP, FNP's NPI is 1992393995 with credentials DNP, FNP. 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 editorial process.

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.