2026 NPPES data Family Nurse Practitioner NPI 1992178057
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Larena Walshe

Family Nurse Practitioner in Maple Valley, Washington. 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
269
Medicare Part D claims · 209 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

Larena Walshe filed 269 Medicare Part D claims in 2023 as a Family Nurse Practitioner in Maple Valley, Washington, prescribing 95% generic.

269
Part D claims, 2023
95%
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.

Larena Walshe's Medicare Part D volume vs every U.S. prescriber

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

269 49th percentile higher than 49% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 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 Larena Walshe?

Quality data not reported

NPI registry status

Active

Issued 11/10/2015

NPI 1992178057

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

269 78% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

Specialty distribution in Washington

How Family Nurse Practitioner compares to other specialties among Washington providers

Washington providers

Family Nurse Practitioner share within Washington

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

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).

Larena Walshe appears in the CMS NPPES registry as a Family Nurse Practitioner provider at 26458 MAPLE VALLEY BLACK DIAMOND RD SE, Maple Valley, WA, 98038, with a listed phone of (425) 690-3465. NPI 1992178057 was issued on 11/10/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Walshe 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 269 prescription claims written by this provider, covering 209 Medicare beneficiaries and totaling roughly $4K in drug spend, split 5% brand-name and 95% generic by claim count, with an opioid prescribing rate of 5.6%. 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

26458 MAPLE VALLEY BLACK DIAMOND RD SE
Maple Valley, WA 98038

Provider Details

NPI 1992178057
Specialty Family Nurse Practitioner
Gender Female
NPI Issued 11/10/2015

License & disciplinary context — Washington WMC 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 ~34K Washington medical licensees in 2023 — they are NOT specific to Larena Walshe. To verify Larena Walshe's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC 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 Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

Larena Walshe — brand share 5.0%
Specialty average (est.)

5% brand-name claims vs 95% generic, on 269 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.

269
Total Claims
$4K
Total Drug Cost
209
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
272
Total Day Supply
2,956
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$580
Generic Drug Cost
$3K
Opioid Claims
15 (5.6% rate)
Antibiotic Claims
84

Patient Demographics

Average Patient Age
73.3 years
Avg HCC Risk Score
1.06
Gender Split
66% female / 34% male
Age Distribution
<65: 21, 65-74: 99, 75-84: 66, 85+: 23

Top Prescribed Drugs (Medicare Part D)

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

What Larena Walshe 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
Prednisone
36
Cephalexin
20
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
19
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
15
Albuterol Sulfate Hfa
Albuterol Sulfate
13
Diclofenac Sodium
13
Ciprofloxacin Hcl
11
Methocarbamol
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 Larena Walshe 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

Larena Walshe's 269 claims are below the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in Washington

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

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

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 Washington medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family Nurse Practitioner 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.

Frequently Asked Questions

What is Larena Walshe's specialty?
Larena Walshe specializes in Family Nurse Practitioner and practices in Maple Valley, Washington.
How much does Larena Walshe prescribe under Medicare Part D?
In 2023, Larena Walshe wrote 269 Medicare Part D claims totaling $4K in drug costs for 209 beneficiaries.
Where is Larena Walshe located?
Larena Walshe is located at 26458 MAPLE VALLEY BLACK DIAMOND RD SE, Maple Valley, WA, 98038. Phone: (425) 690-3465.
What is Larena Walshe's NPI number?
Larena Walshe's National Provider Identifier (NPI) is 1992178057, issued on 11/10/2015.
Does Larena Walshe prescribe more brand-name or generic drugs?
Larena Walshe's prescribing is 5% brand-name and 95% generic drugs by claim count, with $580 in brand drug costs.
Does Larena Walshe prescribe opioids?
Yes, Larena Walshe had 15 opioid claims in 2023 with an opioid prescribing rate of 5.6%.
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 Larena Walshe prescribe most often?
Based on 2023 Medicare Part D data, Larena Walshe's most frequently prescribed drugs include Prednisone, Cephalexin, Nitrofurantoin Mono-Macro. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Larena Walshe accept Medicare?
Larena Walshe appears in CMS Medicare data with 269 Part D claims and 209 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Larena Walshe's credentials?
Larena Walshe's NPI is 1992178057. 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