2026 NPPES data Community Health Nurse Practitioner NPI 1598986192 FNP
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Lily Khoshaba, FNP

Community Health Nurse Practitioner in Winton, California.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 440 in Community Health Nurse Practitioner, 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
2K
Medicare Part D claims · 133 beneficiaries · Community Health Nurse Practitioner avg: 2K
Generic prescribing
80%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$36.07
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Lily Khoshaba, FNP filed 2,385 Medicare Part D claims in 2024 as a Community Health Nurse Practitioner in Winton, California, prescribing 80% generic.

2K
Part D claims, 2024
80%
generic prescribing
$36.07
industry payments (Sunshine Act)
≥86th
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.

Federal trust snapshot

What official records show about Lily Khoshaba, FNP

Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1598986192), first enumerated 05/01/2007.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 2,385 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    Industry payment transparency

    $36.07 in reported industry payments (2 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    California statewide board action statistics are published annually — these figures describe aggregate state activity, not Lily Khoshaba, FNP's individual license status. Verify directly with the state medical board.

    Source: MBC annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

Compare Khoshaba with other Community Health Nurse Practitioner providers

Same primary specialty, same federal CMS NPPES roster.

Also enrolled in California

Other specialties in Winton: Behavior Technician (15) · Case Manager/Care Coordinator (4) · Athletic Trainer (2) · Assistant Behavior Analyst (2)

CMS NPPES provider registry desk

NPI 1598986192 · Community Health Nurse Practitioner

NPI-10 · ENUM-MID · TAX-TRACE · RX-MID · BOOK-THIN · PHOTO-ENUM

  • NPI-10 1598986192
  • ENUM-MID 2007
  • TAX-TRACE 440
  • RX-MID 2,385
  • BOOK-THIN 48 in California
  • PHOTO-ENUM Judy Renfro, APRN · 2007

Lily Khoshaba, FNP's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2024, across all CMS prescribers nationally

2,385 ≥ 86th percentile 86% of 1,416,883 prescribers are in lower value bands

0–200: 679,947 prescribers (48%). Below this entry. 200–400: 188,835 prescribers (13%). Below this entry. 400–600: 95,866 prescribers (7%). Below this entry. 600–800: 60,107 prescribers (4%). Below this entry. 800–1,000: 43,043 prescribers (3%). Below this entry. 1,000–1,200: 33,612 prescribers (2%). Below this entry. 1,200–1,400: 27,889 prescribers (2%). Below this entry. 1,400–1,600: 23,183 prescribers (2%). Below this entry. 1,600–1,800: 19,917 prescribers (1%). Below this entry. 1,800–2,000: 17,585 prescribers (1%). Below this entry. 2K+: 226,899 prescribers (16%). This entry sits in this band. 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.

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 · 2024

What does the federal data show about Lily Khoshaba, FNP?

Quality data not reported

NPI registry status

Active

Issued 05/01/2007

NPI 1598986192

Primary specialty

Community Health Nurse Practitioner

Rare

440 US NPIs in this specialty

Medicare Part D claims

2,385 55% vs specialty avg

2024 prescription claims

Specialty avg: 1,539

Specialty distribution in California

How Community Health Nurse Practitioner compares to other specialties among California providers

California providers
Behavior Technician17.9%Marriage & Family Therapist5.4%Student in an Organized Heal…5.1%Mental Health Counselor3.7%Pharmacist3.4%Clinical Social Worker3.1%Community Health Nurse Pract…0%
Largest specialties in California (% of in-state 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 Community Health Nurse Practitioner. 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

6596 N WINTON WAY
Winton, CA 95388

Provider Details

NPI 1598986192
Specialty Community Health Nurse Practitioner
Credentials FNP
Gender Female
NPI Issued 05/01/2007

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 Lily Khoshaba, FNP. Source: openpaymentsdata.cms.gov.

Total received

$36

Largest payer

SANOFI PASTEUR 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 Lily Khoshaba, FNP. To verify Lily Khoshaba, FNP'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

Lily Khoshaba, FNP - brand share 18.0%
Community Health Nurse Practitioner average

18% brand-name claims vs 80% generic, on 2,385 2024 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 2024.

2,385
Total Claims
$307K
Total Drug Cost
133
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,528
Total Day Supply
131,928
Brand vs Generic
18% brand / 80% generic
Brand Drug Cost
$285K
Generic Drug Cost
$20K
Opioid Claims
44 (1.8% rate)
Antibiotic Claims
60

Patient Demographics

Average Patient Age
70.4 years
Avg HCC Risk Score
1.19
Gender Split
62% female / 38% male
Age Distribution
<65: 24, 65-74: 70, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Lily Khoshaba, FNP prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Atorvastatin Calcium
215
Metformin Hcl
138
Amlodipine Besylate
125
Losartan Potassium
88
Hydrochlorothiazide
87
Jardiance
Empagliflozin
86
Lisinopril
81
Pravastatin Sodium
72
Omeprazole
67
Famotidine
57

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

Community Health Nurse Practitioner Overview

How Lily Khoshaba, FNP fits within the Community Health Nurse Practitioner landscape nationally.

440
Community Health Nurse Practitioner Providers in US
46
States with Community Health Nurse Practitioner
1,539
Avg Claims per Provider

Lily Khoshaba, FNP's 2,385 claims are above the specialty average of 1,539.

Nationwide Community Health Nurse Practitioner peers with similar MIPS or enrollment year

Two federal-record peer sets for Khoshaba, both outside California so the neighborhoods are not geographic containment.

Same NPPES enumeration year (2007)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Community Health Nurse Practitioner Providers in California

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

One of 48 Community Health Nurse Practitioner providers enrolled in California, 11 are shown on this page.

Compare Community Health Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is Lily Khoshaba, FNP's specialty? ▼
Lily Khoshaba, FNP specializes in Community Health Nurse Practitioner and practices in Winton, California. Credentials: FNP.
How much does Lily Khoshaba, FNP prescribe under Medicare Part D? ▼
In 2024, Lily Khoshaba, FNP wrote 2,385 Medicare Part D claims totaling $307K in drug costs for 133 beneficiaries.
Where is Lily Khoshaba, FNP located? ▼
Lily Khoshaba, FNP is located at 6596 N WINTON WAY, Winton, CA, 95388. Phone: (209) 357-7755.
What is Lily Khoshaba, FNP's NPI number? ▼
Lily Khoshaba, FNP's National Provider Identifier (NPI) is 1598986192, issued on 05/01/2007.
Does Lily Khoshaba, FNP prescribe more brand-name or generic drugs? ▼
Lily Khoshaba, FNP's prescribing is 18% brand-name and 80% generic drugs by claim count, with $285K in brand drug costs.
Does Lily Khoshaba, FNP prescribe opioids? ▼
Yes, Lily Khoshaba, FNP had 44 opioid claims in 2024 with an opioid prescribing rate of 1.8%.
How many Community Health Nurse Practitioner providers are there in the US? ▼
There are 440 Community Health Nurse Practitioner providers across 46 states in the US. The average Community Health Nurse Practitioner provider writes 1,539 Medicare Part D claims per year.
What drugs does Lily Khoshaba, FNP prescribe most often? ▼
Based on 2024 Medicare Part D data, Lily Khoshaba, FNP's most frequently prescribed drugs include Atorvastatin Calcium, Metformin Hcl, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Lily Khoshaba, FNP accept Medicare? ▼
Lily Khoshaba, FNP appears in CMS Medicare data with 2,385 Part D claims and 133 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Lily Khoshaba, FNP's credentials? ▼
Lily Khoshaba, FNP's NPI is 1598986192 with credentials FNP. 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 (2024). 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 August 2026 (NPPES) / 2024 (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 August 2026.