NPI registry status
Active
2026 NPPES data Family Medicine Physician NPI 1144883422 ARNP
Verify on CMS → Julie Nielsen, ARNP
Family Medicine Physician in Elk Horn, Iowa.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,760 in Family Medicine Physician, 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
4K
Medicare Part D claims · 384 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
87%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.8K
14 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Julie Nielsen, ARNP filed 4,239 Medicare Part D claims in 2023 as a Family Medicine Physician in Elk Horn, Iowa, prescribing 87% generic.
- 4K
- Part D claims, 2023
- 87%
- generic prescribing
- Likely
- board-certified (heuristic)
- ≥92nd
- pct by Part D claim volume (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.
CMS NPPES provider registry desk
NPI 1144883422 · Family Medicine Physician
NPI-10 · ENUM-RECENT · TAX-MEGA · RX-MID · BOOK-LIGHT · PHOTO-ENUM
- NPI-10 1144883422
- ENUM-RECENT 2019
- TAX-MEGA 148K Family Medicine
- RX-MID 4,239
- BOOK-LIGHT 2,267 in Iowa
- PHOTO-ENUM Nicholas Ballard · 2019
Julie Nielsen, ARNP's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
4,239 ≥ 92nd percentile 92% of 1,370,886 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Julie Nielsen, ARNP practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 3 hospital affiliations - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Julie Nielsen, ARNP?
Quality data not reportedPrimary specialty
Family Medicine Physician
Medicare Part D claims
4,239 24% vs specialty avg
Specialty distribution in Iowa
How Family Medicine Physician compares to other specialties among Iowa providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Family Medicine Physician. Verify directly:
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
Provider Details
| NPI | 1144883422 |
|---|---|
| Specialty | Family Medicine Physician |
| Credentials | ARNP |
| Gender | Female |
| NPI Issued | 04/22/2019 |
Hospital and facility affiliations
Facilities where Julie Nielsen, ARNP 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.
According to CMS billing records, Julie Nielsen, ARNP is affiliated with 3 Medicare-billing facilities.
CH Specialty Services IA PC
Osceola, IA
Curana Health OF Iowa PLLC
Osceola, IA
Greene County Medical Center
Jefferson, IA
Critical Access Hospitals
CMS CCN: 161325
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 Nielsen, ARNP. Source: openpaymentsdata.cms.gov.
Total received
$1.8K
Largest payer
ABBVIE 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.
Brand vs generic prescribing mix · Typical
Julie Nielsen, ARNP - brand share 12.0%
Family Medicine Physician average
12% brand-name claims vs 87% generic, on 4,239 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.
4,239
Total Claims
$407K
Total Drug Cost
384
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 6,389
- Total Day Supply
- 173,838
- Brand vs Generic
- 12% brand / 87% generic
- Brand Drug Cost
- $317K
- Generic Drug Cost
- $89K
- Opioid Claims
- 221 (5.2% rate)
- Antibiotic Claims
- 332
Patient Demographics
- Average Patient Age
- 70.7 years
- Avg HCC Risk Score
- 1.28
- Gender Split
- 66% female / 34% male
- Age Distribution
- <65: 76, 65-74: 151, 75-84: 105, 85+: 52
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Julie Nielsen, ARNP prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
122 claims
- Omeprazole
Omeprazole
116 claims
- Gabapentin
Gabapentin
106 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
95 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
95 claims
- Amoxicillin-Clavul…
Amoxicillin-Clavulanate Potass
94 claims
- Levothyroxine Sodium
Levothyroxine Sodium
90 claims
- Fluticasone Propio…
Fluticasone Propionate
86 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 122 |
| Omeprazole | 116 |
| Gabapentin | 106 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 95 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 95 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 94 |
| Levothyroxine Sodium | 90 |
| Fluticasone Propionate | 86 |
| Amlodipine Besylate | 84 |
| Furosemide | 80 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Medicine Physician Overview
How Julie Nielsen, ARNP fits within the Family Medicine Physician landscape nationally.
147,760
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider
Julie Nielsen, ARNP's 4,239 claims are above the specialty average of 3,418.
Nationwide Family Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Nielsen, both outside Iowa so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2019)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Medicine Physician Providers in Iowa
Other clinicians with the same primary specialty enrolled in Iowa, drawn from the same CMS NPPES roster as Nielsen.
One of 2,267 Family Medicine Physician providers enrolled in Iowa, 5 are shown here.
Dr. Jennifer Aanestad
M.D.
Durant, IA
Dr. Amjad Abdelhady
MD
Sioux City, IA
Dr. Afsana Abdullah
D.O.
Bettendorf, IA
Dr. Raja Ali Abdullah
MD
Cedar Falls, IA
Dr. Laura Abels
DO
Ankeny, IA
Compare Family Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Julie Nielsen, ARNP's specialty? ▼
Julie Nielsen, ARNP specializes in Family Medicine Physician and practices in Elk Horn, Iowa. Credentials: ARNP.
How much does Julie Nielsen, ARNP prescribe under Medicare Part D? ▼
In 2023, Julie Nielsen, ARNP wrote 4,239 Medicare Part D claims totaling $407K in drug costs for 384 beneficiaries.
Where is Julie Nielsen, ARNP located? ▼
Julie Nielsen, ARNP is located at 629 YUCCA RD, Elk Horn, IA, 51531. Phone: (712) 249-8526.
What is Julie Nielsen, ARNP's NPI number? ▼
Julie Nielsen, ARNP's National Provider Identifier (NPI) is 1144883422, issued on 04/22/2019.
Does Julie Nielsen, ARNP prescribe more brand-name or generic drugs? ▼
Julie Nielsen, ARNP's prescribing is 12% brand-name and 87% generic drugs by claim count, with $317K in brand drug costs.
Does Julie Nielsen, ARNP prescribe opioids? ▼
Yes, Julie Nielsen, ARNP had 221 opioid claims in 2023 with an opioid prescribing rate of 5.2%.
How many Family Medicine Physician providers are there in the US? ▼
There are 147,760 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Julie Nielsen, ARNP prescribe most often? ▼
Based on 2023 Medicare Part D data, Julie Nielsen, ARNP's most frequently prescribed drugs include Atorvastatin Calcium, Omeprazole, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Julie Nielsen, ARNP accept Medicare? ▼
Julie Nielsen, ARNP appears in CMS Medicare data with 4,239 Part D claims and 384 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Julie Nielsen, ARNP's credentials? ▼
Julie Nielsen, ARNP's NPI is 1144883422 with credentials ARNP. 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.
- 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.