2026 NPPES data Acute Care Nurse Practitioner NPI 1700312410 MSN, RN, MPH
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KARA ESTER SAN JOAQUIN, MSN, RN, MPH

Acute Care Nurse Practitioner in PORTLAND, Oregon. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
2K
Medicare Part D claims · 368 beneficiaries · Acute Care Nurse Practitioner avg: 576
Generic prescribing
78%
generic claims · 22% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.83/100
▲ 15 pts above national avg 83.1 · [object Object]

What the federal data shows

KARA ESTER SAN JOAQUIN, MSN, RN, MPH reported a CMS MIPS final score of 97.83/100 — above the 83.1 national average — and filed 1,582 Medicare Part D claims in 2023.

97.83/100
MIPS score · +15 vs avg
2K
Part D claims, 2023
78%
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.

KARA ESTER SAN JOAQUIN, MSN, RN, MPH's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

98 Top 15% higher than 85% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

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 KARA ESTER SAN JOAQUIN, MSN, RN, MPH?

High performer (top quartile)

NPI registry status

Active

Issued 05/02/2017

NPI 1700312410

Primary specialty

Acute Care Nurse Practitioner

Mid-sized

24,583 US NPIs in this specialty

Medicare Part D claims

1,582 175% vs specialty avg

2023 prescription claims

Specialty avg: 576

MIPS final score

97.83/100 14.730000000000004% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Oregon

How Acute Care Nurse Practitioner compares to other specialties among Oregon providers

Oregon providers

Acute Care Nurse Practitioner share within Oregon

1. Acute Care Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Acute Care Nurse Practitioner share within Oregon

Medicare quality performance — MIPS

KARA ESTER SAN JOAQUIN, MSN, RN, MPH's 2023 MIPS final score plotted against the Acute Care Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
97.83/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Acute Care Nurse Practitioner) — 97.83/100 vs national avg 83.1

0%100%National avg83%97.8%
MIPS final score (Acute Care Nurse Practitioner) — 97.83/100 vs national avg 83.1

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).

KARA ESTER SAN JOAQUIN, MSN, RN, MPH appears in the CMS NPPES registry as a Acute Care Nurse Practitioner provider holding MSN, RN, MPH credentials at 3303 S BOND AVE, PORTLAND, OR, 97239, with a listed phone of (503) 494-1775. NPI 1700312410 was issued on 05/02/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SAN JOAQUIN 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 1,582 prescription claims written by this provider, covering 368 Medicare beneficiaries and totaling roughly $479K in drug spend, split 22% brand-name and 78% 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 97.83/100 for the 2023 performance year (Quality 80.9759), compared with the national average of 83.1.

Acute Care Nurse Practitioner is a mid-sized specialty nationwide, with 24,583 enrolled providers across 53 states and an average of 576 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

3303 S BOND AVE
PORTLAND, OR 97239

Provider Details

NPI 1700312410
Specialty Acute Care Nurse Practitioner
Credentials MSN, RN, MPH
Gender Female
NPI Issued 05/02/2017

CMS Quality Score (MIPS)

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

97.83
Final Score
Avg: 83.1
80.9759
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where KARA ESTER SAN JOAQUIN, MSN, RN, MPH 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 PROFESSIONAL SERVICES
PORTLAND, OR

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 · Typical

KARA ESTER SAN JOAQUIN, MSN, RN, MPH — brand share 22.0%
Specialty average (est.)

22% brand-name claims vs 78% generic, on 1,582 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.

1,582
Total Claims
$479K
Total Drug Cost
368
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,016
Total Day Supply
119,581
Brand vs Generic
22% brand / 78% generic
Brand Drug Cost
$432K
Generic Drug Cost
$47K

Patient Demographics

Average Patient Age
73.9 years
Avg HCC Risk Score
2.14
Gender Split
47% female / 53% male
Age Distribution
<65: 38, 65-74: 144, 75-84: 144, 85+: 42

Top Prescribed Drugs (Medicare Part D)

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

What KARA ESTER SAN JOAQUIN, MSN, RN, MPH 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
Metoprolol Succinate
191
Atorvastatin Calcium
115
Eliquis
Apixaban
94
Carvedilol
93
Lisinopril
84
Spironolactone
78
Amlodipine Besylate
76
Jardiance
Empagliflozin
74
Entresto
Sacubitril/Valsartan
72
Furosemide
71

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

Acute Care Nurse Practitioner Overview

How KARA ESTER SAN JOAQUIN, MSN, RN, MPH fits within the Acute Care Nurse Practitioner landscape nationally.

24,583
Acute Care Nurse Practitioner Providers in US
53
States with Acute Care Nurse Practitioner
576
Avg Claims per Provider

KARA ESTER SAN JOAQUIN, MSN, RN, MPH's 1,582 claims are above the specialty average of 576.

Nearby Acute Care Nurse Practitioner Providers in Oregon

Other clinicians with the same primary specialty enrolled in Oregon, drawn from the same CMS NPPES roster as SAN JOAQUIN.

Compare Acute Care Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is KARA ESTER SAN JOAQUIN, MSN, RN, MPH's specialty?
KARA ESTER SAN JOAQUIN, MSN, RN, MPH specializes in Acute Care Nurse Practitioner and practices in PORTLAND, Oregon. Credentials: MSN, RN, MPH.
How much does KARA ESTER SAN JOAQUIN, MSN, RN, MPH prescribe under Medicare Part D?
In 2023, KARA ESTER SAN JOAQUIN, MSN, RN, MPH wrote 1,582 Medicare Part D claims totaling $479K in drug costs for 368 beneficiaries.
What is KARA ESTER SAN JOAQUIN, MSN, RN, MPH's Medicare quality score?
KARA ESTER SAN JOAQUIN, MSN, RN, MPH has a CMS MIPS Final Score of 97.83/100 (Quality: 80.9759). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KARA ESTER SAN JOAQUIN, MSN, RN, MPH located?
KARA ESTER SAN JOAQUIN, MSN, RN, MPH is located at 3303 S BOND AVE, PORTLAND, OR, 97239. Phone: (503) 494-1775.
What is KARA ESTER SAN JOAQUIN, MSN, RN, MPH's NPI number?
KARA ESTER SAN JOAQUIN, MSN, RN, MPH's National Provider Identifier (NPI) is 1700312410, issued on 05/02/2017.
Does KARA ESTER SAN JOAQUIN, MSN, RN, MPH prescribe more brand-name or generic drugs?
KARA ESTER SAN JOAQUIN, MSN, RN, MPH's prescribing is 22% brand-name and 78% generic drugs by claim count, with $432K in brand drug costs.
How many Acute Care Nurse Practitioner providers are there in the US?
There are 24,583 Acute Care Nurse Practitioner providers across 53 states in the US. The average Acute Care Nurse Practitioner provider writes 576 Medicare Part D claims per year.
What drugs does KARA ESTER SAN JOAQUIN, MSN, RN, MPH prescribe most often?
Based on 2023 Medicare Part D data, KARA ESTER SAN JOAQUIN, MSN, RN, MPH's most frequently prescribed drugs include Metoprolol Succinate, Atorvastatin Calcium, Eliquis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KARA ESTER SAN JOAQUIN, MSN, RN, MPH accept Medicare?
KARA ESTER SAN JOAQUIN, MSN, RN, MPH appears in CMS Medicare data with 1,582 Part D claims and 368 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KARA ESTER SAN JOAQUIN, MSN, RN, MPH's credentials?
KARA ESTER SAN JOAQUIN, MSN, RN, MPH's NPI is 1700312410 with credentials MSN, RN, MPH. 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

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