2026 NPPES data Family Nurse Practitioner NPI 1295784262 NP
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Loan Retchless, NP

Family Nurse Practitioner in Tacoma, 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
456
Medicare Part D claims · 83 beneficiaries · Family Nurse Practitioner avg: 1K
MIPS score
73.6/100
▼ 10 pts below national avg 83.1 · [object Object]
Industry payments
$3.9K
153 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Loan Retchless, NP reported a CMS MIPS final score of 73.6/100 — below the 83.1 national average — and filed 456 Medicare Part D claims in 2023.

73.6/100
MIPS score · -10 vs avg
456
Part D claims, 2023
$3.9K
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.

Loan Retchless, NP's MIPS score vs every scored U.S. clinician

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

74 11th percentile higher than 11% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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 Loan Retchless, NP?

Below national average

NPI registry status

Active

Issued 05/08/2006

NPI 1295784262

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

456 63% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

MIPS final score

73.6/100 9.5 pts vs avg

Mid-tier band

vs 83.1 national avg

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

Medicare quality performance — MIPS

Loan Retchless, NP's 2023 MIPS final score plotted against the Family Nurse Practitioner national average

Below national average
MIPS Final Score
73.6/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Nurse Practitioner) — 73.6/100 vs national avg 83.1

0%100%National avg83%73.6%
MIPS final score (Family Nurse Practitioner) — 73.6/100 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).

Loan Retchless, NP appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding NP credentials at 4301 S PINE ST STE 301, Tacoma, WA, 98409, with a listed phone of (253) 476-6500. NPI 1295784262 was issued on 05/08/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Retchless 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 456 prescription claims written by this provider, covering 83 Medicare beneficiaries and totaling roughly $615K in drug spend, with an opioid prescribing rate of 7.9%. 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 73.6/100 for the 2023 performance year (Quality 55.6, Cost 50.9), compared with the national average of 83.1.

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

4301 S PINE ST STE 301
Tacoma, WA 98409

Provider Details

NPI 1295784262
Specialty Family Nurse Practitioner
Credentials NP
Gender Female
NPI Issued 05/08/2006

CMS Quality Score (MIPS)

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

73.5765
Final Score
Avg: 83.1
55.5873
Quality
50.9234
Cost
98
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Loan Retchless, NP 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.

Kaiser Foundation Health Plan OF Washington
Tacoma, WA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

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 Loan Retchless, NP. Source: openpaymentsdata.cms.gov.

Total received

$3.9K

Largest payer

AstraZeneca Pharmaceuticals LP

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 — 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 Loan Retchless, NP. To verify Loan Retchless, NP'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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

456
Total Claims
$615K
Total Drug Cost
83
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
682
Total Day Supply
19,291
Generic Drug Cost
$58K
Opioid Claims
36 (7.9% rate)
Antibiotic Claims
23

Patient Demographics

Average Patient Age
74.7 years
Avg HCC Risk Score
2.68
Gender Split
63% female / 37% male

Top Prescribed Drugs (Medicare Part D)

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

What Loan Retchless, NP 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
Letrozole
33
Lorazepam
25
Alprazolam
22
Prednisone
22
Oxycodone Hcl
21
Levothyroxine Sodium
19
Metoprolol Tartrate
19
Anastrozole
18
Ondansetron Hcl
17
Revlimid
Lenalidomide
17

* 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 Loan Retchless, NP 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

Loan Retchless, NP's 456 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 Retchless.

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 Loan Retchless, NP's specialty?
Loan Retchless, NP specializes in Family Nurse Practitioner and practices in Tacoma, Washington. Credentials: NP.
How much does Loan Retchless, NP prescribe under Medicare Part D?
In 2023, Loan Retchless, NP wrote 456 Medicare Part D claims totaling $615K in drug costs for 83 beneficiaries.
What is Loan Retchless, NP's Medicare quality score?
Loan Retchless, NP has a CMS MIPS Final Score of 73.6/100 (Quality: 55.6, Cost: 50.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Loan Retchless, NP located?
Loan Retchless, NP is located at 4301 S PINE ST STE 301, Tacoma, WA, 98409. Phone: (253) 476-6500.
What is Loan Retchless, NP's NPI number?
Loan Retchless, NP's National Provider Identifier (NPI) is 1295784262, issued on 05/08/2006.
Does Loan Retchless, NP prescribe opioids?
Yes, Loan Retchless, NP had 36 opioid claims in 2023 with an opioid prescribing rate of 7.9%.
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 Loan Retchless, NP prescribe most often?
Based on 2023 Medicare Part D data, Loan Retchless, NP's most frequently prescribed drugs include Letrozole, Lorazepam, Alprazolam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Loan Retchless, NP accept Medicare?
Loan Retchless, NP appears in CMS Medicare data with 456 Part D claims and 83 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Loan Retchless, NP's credentials?
Loan Retchless, NP's NPI is 1295784262 with credentials NP. 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