2026 NPPES data Family Nurse Practitioner NPI 1376765685 APRN, BC
Verify on CMS →

Maricela Sandoval, APRN, BC

Family Nurse Practitioner in Chicago, Illinois.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 216,959 in Family 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
467
Medicare Part D claims · 244 beneficiaries · Family Nurse Practitioner avg: 1K
MIPS score
97.7/100
▲ 14 pts above national avg 83.5 · Exceptional

What the federal data shows

Maricela Sandoval, APRN, BC reported a CMS MIPS final score of 97.7/100 - above the 83.5 national average - and filed 467 Medicare Part D claims in 2024.

97.7/100
MIPS score · +14 vs avg
467
Part D claims, 2024
≥84th
pct among measured MIPS (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 Maricela Sandoval, APRN, BC

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1376765685), first enumerated 05/03/2007.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 467 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 97.7/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • State context

    State board disciplinary context

    Illinois statewide board action statistics are published annually — these figures describe aggregate state activity, not Maricela Sandoval, APRN, BC's individual license status. Verify directly with the state medical board.

    Source: IDFPR 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.

CMS NPPES provider registry desk

NPI 1376765685 · Family Nurse Practitioner

NPI-10 · ENUM-MID · TAX-MEGA · MIPS-ELITE · RX-LIGHT · BOOK-MID · PHOTO-FINISH

  • NPI-10 1376765685
  • ENUM-MID 2007
  • TAX-MEGA 217K Family Nurse
  • MIPS-ELITE 97.7/100
  • RX-LIGHT 467
  • BOOK-MID 7,207 in Illinois
  • PHOTO-FINISH Monica Almy-Boylan · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Maricela Sandoval, APRN, BC's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

98 ≥ 84th percentile 84% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Maricela Sandoval, APRN, BC sits

This provider among family nurse practitioner peers

Across the 26,556 family nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Maricela Sandoval, APRN, BC writes more Part D claims than 53% of them and scores higher on MIPS quality than 88% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100023.146.269.392.4Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 78Maricela Sandoval, APRN, BC, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 88
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one family nurse practitioner peer from a representative sample of 60; the gold marker is Maricela Sandoval, APRN, BC. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Maricela Sandoval, APRN, BC?

High performer (top quartile)

NPI registry status

Active

Issued 05/03/2007

NPI 1376765685

Primary specialty

Family Nurse Practitioner

High-volume

216,959 US NPIs in this specialty

Medicare Part D claims

467 64% vs specialty avg

2024 prescription claims

Specialty avg: 1,302

MIPS final score

97.7/100 14.2 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in Illinois

How Family Nurse Practitioner compares to other specialties among Illinois providers

Illinois providers
Clinical Social Worker5.2%Physical Therapist4.9%Mental Health Counselor4.5%Speech-Language Pathologist4.2%Student in an Organized Heal…4.1%Pharmacist4.1%Family Nurse Practitioner3%
Largest specialties in Illinois (% of in-state providers)

Medicare quality performance, MIPS

Maricela Sandoval, APRN, BC's 2023 MIPS final score plotted against the Family Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
97.7/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%97.7%
MIPS final score (Family Nurse Practitioner) - 97.7/100 vs national avg 83.5
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

5758 S MARYLAND AVE
Chicago, IL 60637

Provider Details

NPI 1376765685
Specialty Family Nurse Practitioner
Credentials APRN, BC
Gender Female
NPI Issued 05/03/2007

CMS Quality Score (MIPS)

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

97.7188
Final Score
Measured-score avg: 83.5
75.4375
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Maricela Sandoval, APRN, BC 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.

The University OF Chicago Medical Center
★★★★☆ 4/5
Chicago, IL
Acute Care Hospitals
CMS CCN: 140088

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

License & disciplinary context - Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 - they are NOT specific to Maricela Sandoval, APRN, BC. To verify Maricela Sandoval, APRN, BC's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois 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 2024.

467
Total Claims
$38K
Total Drug Cost
244
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
803.567
Total Day Supply
22,455
Generic Drug Cost
$7K
Opioid Claims
12 (2.6% rate)
Antibiotic Claims
44

Patient Demographics

Average Patient Age
74.1 years
Avg HCC Risk Score
1.67
Gender Split
72% female / 28% male
Age Distribution
<65: 35, 65-74: 93, 75-84: 81, 85+: 35

Top Prescribed Drugs (Medicare Part D)

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

What Maricela Sandoval, APRN, BC 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
Amlodipine Besylate
42
Losartan Potassium
32
Atorvastatin Calcium
24
Carvedilol
14
Fluticasone Propionate
13
Lisinopril
13
Spironolactone
12
Cephalexin
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 Maricela Sandoval, APRN, BC fits within the Family Nurse Practitioner landscape nationally.

216,959
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,302
Avg Claims per Provider

Maricela Sandoval, APRN, BC's 467 claims are below the specialty average of 1,302.

Nationwide Family Nurse Practitioner peers with similar MIPS or enrollment year

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

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (97.7 here).

Same NPPES enumeration year (2007)

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

Nearby Family Nurse Practitioner Providers in Illinois

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

One of 7,207 Family Nurse Practitioner providers enrolled in Illinois, 5 are shown here.

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

Frequently Asked Questions

What is Maricela Sandoval, APRN, BC's specialty?
Maricela Sandoval, APRN, BC specializes in Family Nurse Practitioner and practices in Chicago, Illinois. Credentials: APRN, BC.
How much does Maricela Sandoval, APRN, BC prescribe under Medicare Part D?
In 2024, Maricela Sandoval, APRN, BC wrote 467 Medicare Part D claims totaling $38K in drug costs for 244 beneficiaries.
What is Maricela Sandoval, APRN, BC's Medicare quality score?
Maricela Sandoval, APRN, BC has a CMS MIPS Final Score of 97.7/100 (Quality: 75.4). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Maricela Sandoval, APRN, BC located?
Maricela Sandoval, APRN, BC is located at 5758 S MARYLAND AVE, Chicago, IL, 60637. Phone: (773) 702-1000.
What is Maricela Sandoval, APRN, BC's NPI number?
Maricela Sandoval, APRN, BC's National Provider Identifier (NPI) is 1376765685, issued on 05/03/2007.
Does Maricela Sandoval, APRN, BC prescribe opioids?
Yes, Maricela Sandoval, APRN, BC had 12 opioid claims in 2024 with an opioid prescribing rate of 2.6%.
How many Family Nurse Practitioner providers are there in the US?
There are 216,959 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,302 Medicare Part D claims per year.
What drugs does Maricela Sandoval, APRN, BC prescribe most often?
Based on 2024 Medicare Part D data, Maricela Sandoval, APRN, BC's most frequently prescribed drugs include Amlodipine Besylate, Losartan Potassium, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Maricela Sandoval, APRN, BC accept Medicare?
Maricela Sandoval, APRN, BC appears in CMS Medicare data with 467 Part D claims and 244 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Maricela Sandoval, APRN, BC's credentials?
Maricela Sandoval, APRN, BC's NPI is 1376765685 with credentials APRN, 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

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.
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 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.