2026 NPPES data Critical Care Medicine Clinical Nurse Specialist NPI 1093953358 MSN, RN, CCNS-BC
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LEANN MCREYNOLDS, MSN, RN, CCNS-BC

Critical Care Medicine Clinical Nurse Specialist in SAN ANTONIO, Texas. 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
156
Medicare Part D claims · 61 beneficiaries · Critical Care Medicine Clinical Nurse Specialist avg: 963
Generic prescribing
60%
generic claims · 40% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

LEANN MCREYNOLDS, MSN, RN, CCNS-BC filed 156 Medicare Part D claims in 2023 as a Critical Care Medicine Clinical Nurse Specialist in SAN ANTONIO, Texas, prescribing 60% generic.

156
Part D claims, 2023
60%
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.

LEANN MCREYNOLDS, MSN, RN, CCNS-BC's Medicare Part D volume vs every U.S. prescriber

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

156 35th percentile higher than 35% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 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 LEANN MCREYNOLDS, MSN, RN, CCNS-BC?

Quality data not reported

NPI registry status

Active

Issued 01/25/2009

NPI 1093953358

Primary specialty

Critical Care Medicine Clinical Nurse Specialist

Rare

211 US NPIs in this specialty

Medicare Part D claims

156 84% vs specialty avg

2023 prescription claims

Specialty avg: 963

Specialty distribution in Texas

How Critical Care Medicine Clinical Nurse Specialist compares to other specialties among Texas providers

Texas providers

Critical Care Medicine Clinical Nurse Specialist share within Texas

1. Critical Care Medicine Clinical Nurse Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Critical Care Medicine Clinical Nurse Specialist share within Texas

Specialty board-certification context

Estimated specialty board-certified rate — Critical Care Medicine Clinical Nurse Specialist (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Critical Care Medicine Clinical Nurse Specialist ABMS/AOA estimate

Est. board-certified rate (Critical Care Medicine Clinical Nurse Specialist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Critical Care Medicine Clinical Nurse Specialist) — 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).

LEANN MCREYNOLDS, MSN, RN, CCNS-BC appears in the CMS NPPES registry as a Critical Care Medicine Clinical Nurse Specialist provider holding MSN, RN, CCNS-BC credentials at 4410 MEDICAL DR, SAN ANTONIO, TX, 78229, with a listed phone of (210) 692-9400. NPI 1093953358 was issued on 01/25/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MCREYNOLDS 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 156 prescription claims written by this provider, covering 61 Medicare beneficiaries and totaling roughly $40K in drug spend, split 40% brand-name and 60% 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.

Critical Care Medicine Clinical Nurse Specialist is a narrow specialty nationwide, with 211 enrolled providers across 34 states and an average of 963 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

4410 MEDICAL DR
SAN ANTONIO, TX 78229

Provider Details

NPI 1093953358
Specialty Critical Care Medicine Clinical Nurse Specialist
Credentials MSN, RN, CCNS-BC
Gender Female
NPI Issued 01/25/2009

License & disciplinary context — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to LEANN MCREYNOLDS, MSN, RN, CCNS-BC. To verify LEANN MCREYNOLDS, MSN, RN, CCNS-BC's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

LEANN MCREYNOLDS, MSN, RN, CCNS-BC — brand share 40.0%
Specialty average (est.)

40% brand-name claims vs 60% generic, on 156 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.

156
Total Claims
$40K
Total Drug Cost
61
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
173
Total Day Supply
4,149
Brand vs Generic
40% brand / 60% generic
Brand Drug Cost
$38K
Generic Drug Cost
$1K
Antibiotic Claims
22

Patient Demographics

Average Patient Age
71.1 years
Avg HCC Risk Score
3.23
Gender Split
51% female / 49% male

Top Prescribed Drugs (Medicare Part D)

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

What LEANN MCREYNOLDS, MSN, RN, CCNS-BC 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
39
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
37
Montelukast Sodium
13
Albuterol Sulfate Hfa
Albuterol Sulfate
12

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

Critical Care Medicine Clinical Nurse Specialist Overview

How LEANN MCREYNOLDS, MSN, RN, CCNS-BC fits within the Critical Care Medicine Clinical Nurse Specialist landscape nationally.

211
Critical Care Medicine Clinical Nurse Specialist Providers in US
34
States with Critical Care Medicine Clinical Nurse Specialist
963
Avg Claims per Provider

LEANN MCREYNOLDS, MSN, RN, CCNS-BC's 156 claims are below the specialty average of 963.

Nearby Critical Care Medicine Clinical Nurse Specialist Providers in Texas

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

Compare Critical Care Medicine Clinical Nurse Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is LEANN MCREYNOLDS, MSN, RN, CCNS-BC's specialty?
LEANN MCREYNOLDS, MSN, RN, CCNS-BC specializes in Critical Care Medicine Clinical Nurse Specialist and practices in SAN ANTONIO, Texas. Credentials: MSN, RN, CCNS-BC.
How much does LEANN MCREYNOLDS, MSN, RN, CCNS-BC prescribe under Medicare Part D?
In 2023, LEANN MCREYNOLDS, MSN, RN, CCNS-BC wrote 156 Medicare Part D claims totaling $40K in drug costs for 61 beneficiaries.
Where is LEANN MCREYNOLDS, MSN, RN, CCNS-BC located?
LEANN MCREYNOLDS, MSN, RN, CCNS-BC is located at 4410 MEDICAL DR, SAN ANTONIO, TX, 78229. Phone: (210) 692-9400.
What is LEANN MCREYNOLDS, MSN, RN, CCNS-BC's NPI number?
LEANN MCREYNOLDS, MSN, RN, CCNS-BC's National Provider Identifier (NPI) is 1093953358, issued on 01/25/2009.
Does LEANN MCREYNOLDS, MSN, RN, CCNS-BC prescribe more brand-name or generic drugs?
LEANN MCREYNOLDS, MSN, RN, CCNS-BC's prescribing is 40% brand-name and 60% generic drugs by claim count, with $38K in brand drug costs.
How many Critical Care Medicine Clinical Nurse Specialist providers are there in the US?
There are 211 Critical Care Medicine Clinical Nurse Specialist providers across 34 states in the US. The average Critical Care Medicine Clinical Nurse Specialist provider writes 963 Medicare Part D claims per year.
What drugs does LEANN MCREYNOLDS, MSN, RN, CCNS-BC prescribe most often?
Based on 2023 Medicare Part D data, LEANN MCREYNOLDS, MSN, RN, CCNS-BC's most frequently prescribed drugs include Prednisone, Trelegy Ellipta, Montelukast Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LEANN MCREYNOLDS, MSN, RN, CCNS-BC accept Medicare?
LEANN MCREYNOLDS, MSN, RN, CCNS-BC appears in CMS Medicare data with 156 Part D claims and 61 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LEANN MCREYNOLDS, MSN, RN, CCNS-BC's credentials?
LEANN MCREYNOLDS, MSN, RN, CCNS-BC's NPI is 1093953358 with credentials MSN, RN, CCNS-BC. 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