2026 NPPES data Family Nurse Practitioner NPI 1700433604
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KARLA BAILEY

Family Nurse Practitioner in VALLEJO, California. 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
634
Medicare Part D claims · 227 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$91.57
4 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KARLA BAILEY filed 634 Medicare Part D claims in 2023 as a Family Nurse Practitioner in VALLEJO, California, prescribing 89% generic.

634
Part D claims, 2023
89%
generic prescribing
$91.57
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.

KARLA BAILEY's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

634 Top 31% higher than 69% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). This entry sits in this band. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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.

Source CMS Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about KARLA BAILEY?

Quality data not reported

NPI registry status

Active

Issued 08/25/2019

NPI 1700433604

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

634 48% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

Specialty distribution in California

How Family Nurse Practitioner compares to other specialties among California providers

California providers

Family Nurse Practitioner share within California

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

Specialty board-certification context

Estimated specialty board-certified rate — Family Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Family Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Family Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Family Nurse Practitioner) — ABMS / AOA estimate

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).

KARLA BAILEY is a Family Nurse Practitioner provider practicing in VALLEJO, California, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1700433604. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

KARLA BAILEY appears in the CMS NPPES registry as a Family Nurse Practitioner provider at 365 TUOLUMNE ST, VALLEJO, CA, 94590, with a listed phone of (707) 553-5509. NPI 1700433604 was issued on 08/25/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BAILEY 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 634 prescription claims written by this provider, covering 227 Medicare beneficiaries and totaling roughly $72K in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 4.6%. 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.

Family Nurse Practitioner is a high-volume specialty nationwide, with 209,817 enrolled providers across 56 states and an average of 1,222 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

365 TUOLUMNE ST
VALLEJO, CA 94590

Provider Details

NPI 1700433604
Specialty Family Nurse Practitioner
Gender Female
NPI Issued 08/25/2019

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 KARLA BAILEY. Source: openpaymentsdata.cms.gov.

Total received

$92

Largest payer

PFIZER 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 — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to KARLA BAILEY. To verify KARLA BAILEY's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

KARLA BAILEY — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 634 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.

634
Total Claims
$72K
Total Drug Cost
227
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,355
Total Day Supply
38,704
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$56K
Generic Drug Cost
$16K
Opioid Claims
29 (4.6% rate)
Antibiotic Claims
17

Patient Demographics

Average Patient Age
70.1 years
Avg HCC Risk Score
1.25
Gender Split
60% female / 40% male
Age Distribution
<65: 45, 65-74: 111, 75-84: 53, 85+: 18

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
69
Amlodipine Besylate
41
Metformin Hcl
41
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
25
Lisinopril
23
Famotidine
16
Allopurinol
15
Diclofenac Sodium
15
Gabapentin
11
Levothyroxine Sodium
11

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

Family Nurse Practitioner Overview

How KARLA BAILEY fits within the Family Nurse Practitioner landscape nationally.

209,817
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider

KARLA BAILEY's 634 claims are below the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as BAILEY.

Compare Family Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is KARLA BAILEY's specialty?
KARLA BAILEY specializes in Family Nurse Practitioner and practices in VALLEJO, California.
How much does KARLA BAILEY prescribe under Medicare Part D?
In 2023, KARLA BAILEY wrote 634 Medicare Part D claims totaling $72K in drug costs for 227 beneficiaries.
Where is KARLA BAILEY located?
KARLA BAILEY is located at 365 TUOLUMNE ST, VALLEJO, CA, 94590. Phone: (707) 553-5509.
What is KARLA BAILEY's NPI number?
KARLA BAILEY's National Provider Identifier (NPI) is 1700433604, issued on 08/25/2019.
Does KARLA BAILEY prescribe more brand-name or generic drugs?
KARLA BAILEY's prescribing is 11% brand-name and 89% generic drugs by claim count, with $56K in brand drug costs.
Does KARLA BAILEY prescribe opioids?
Yes, KARLA BAILEY had 29 opioid claims in 2023 with an opioid prescribing rate of 4.6%.
How many Family Nurse Practitioner providers are there in the US?
There are 209,817 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,222 Medicare Part D claims per year.
What drugs does KARLA BAILEY prescribe most often?
Based on 2023 Medicare Part D data, KARLA BAILEY's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Metformin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KARLA BAILEY accept Medicare?
KARLA BAILEY appears in CMS Medicare data with 634 Part D claims and 227 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KARLA BAILEY's credentials?
KARLA BAILEY's NPI is 1700433604. 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.
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