2026 NPPES data Ambulatory Women's Health Care Registered Nurse NPI 1841749595 FNP
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MARISSA PIERCE, FNP

Ambulatory Women's Health Care Registered Nurse 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
2K
Medicare Part D claims · 347 beneficiaries · Ambulatory Women's Health Care Registered Nurse avg: 202
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$441.16
24 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MARISSA PIERCE, FNP filed 2,188 Medicare Part D claims in 2023 as a Ambulatory Women's Health Care Registered Nurse in SAN ANTONIO, Texas, prescribing 88% generic.

2K
Part D claims, 2023
88%
generic prescribing
$441.16
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.

MARISSA PIERCE, FNP's Medicare Part D volume vs every U.S. prescriber

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

2,188 Top 15% higher than 85% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 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.

Source CMS Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about MARISSA PIERCE, FNP?

Quality data not reported

NPI registry status

Active

Issued 09/22/2016

NPI 1841749595

Primary specialty

Ambulatory Women's Health Care Registered Nurse

Niche

904 US NPIs in this specialty

Medicare Part D claims

2,188 983% vs specialty avg

2023 prescription claims

Specialty avg: 202

Specialty distribution in Texas

How Ambulatory Women's Health Care Registered Nurse compares to other specialties among Texas providers

Texas providers

Ambulatory Women's Health Care Registered Nurse share within Texas

1. Ambulatory Women's Health Care Registered Nurse42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ambulatory Women's Health Care Registered Nurse share within Texas

Specialty board-certification context

Estimated specialty board-certified rate — Ambulatory Women's Health Care Registered Nurse (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Ambulatory Women's Health Care Registered Nurse ABMS/AOA estimate

Est. board-certified rate (Ambulatory Women's Health Care Registered Nurse) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Ambulatory Women's Health Care Registered Nurse) — 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).

MARISSA PIERCE, FNP is a Ambulatory Women's Health Care Registered Nurse provider practicing in SAN ANTONIO, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: FNP. NPI: 1841749595. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

MARISSA PIERCE, FNP appears in the CMS NPPES registry as a Ambulatory Women's Health Care Registered Nurse provider holding FNP credentials at 20306 ENCINO LEDGE, SAN ANTONIO, TX, 78259, with a listed phone of (210) 404-0127. NPI 1841749595 was issued on 09/22/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PIERCE 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 2,188 prescription claims written by this provider, covering 347 Medicare beneficiaries and totaling roughly $264K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 1.0%. 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.

Ambulatory Women's Health Care Registered Nurse is a narrow specialty nationwide, with 904 enrolled providers across 51 states and an average of 202 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

20306 ENCINO LEDGE
SAN ANTONIO, TX 78259

Provider Details

NPI 1841749595
Specialty Ambulatory Women's Health Care Registered Nurse
Credentials FNP
Gender Female
NPI Issued 09/22/2016

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 MARISSA PIERCE, FNP. Source: openpaymentsdata.cms.gov.

Total received

$441

Largest payer

Lilly USA, LLC

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 — 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 MARISSA PIERCE, FNP. To verify MARISSA PIERCE, FNP'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 · Typical

MARISSA PIERCE, FNP — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 2,188 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.

2,188
Total Claims
$264K
Total Drug Cost
347
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,612
Total Day Supply
164,287
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$218K
Generic Drug Cost
$45K
Opioid Claims
21 (1.0% rate)
Antibiotic Claims
74

Patient Demographics

Average Patient Age
73.9 years
Avg HCC Risk Score
1.12
Gender Split
68% female / 32% male
Age Distribution
<65: 11, 65-74: 179, 75-84: 133, 85+: 24

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Amlodipine Besylate
101
Omeprazole
88
Levothyroxine Sodium
81
Atorvastatin Calcium
65
Lisinopril
57
Montelukast Sodium
56
Hydrochlorothiazide
55
Metformin Hcl
52
Pravastatin Sodium
45
Losartan Potassium
42

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

Ambulatory Women's Health Care Registered Nurse Overview

How MARISSA PIERCE, FNP fits within the Ambulatory Women's Health Care Registered Nurse landscape nationally.

904
Ambulatory Women's Health Care Registered Nurse Providers in US
51
States with Ambulatory Women's Health Care Registered Nurse
202
Avg Claims per Provider

MARISSA PIERCE, FNP's 2,188 claims are above the specialty average of 202.

Nearby Ambulatory Women's Health Care Registered Nurse Providers in Texas

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

Compare Ambulatory Women's Health Care Registered Nurse nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARISSA PIERCE, FNP's specialty?
MARISSA PIERCE, FNP specializes in Ambulatory Women's Health Care Registered Nurse and practices in SAN ANTONIO, Texas. Credentials: FNP.
How much does MARISSA PIERCE, FNP prescribe under Medicare Part D?
In 2023, MARISSA PIERCE, FNP wrote 2,188 Medicare Part D claims totaling $264K in drug costs for 347 beneficiaries.
Where is MARISSA PIERCE, FNP located?
MARISSA PIERCE, FNP is located at 20306 ENCINO LEDGE, SAN ANTONIO, TX, 78259. Phone: (210) 404-0127.
What is MARISSA PIERCE, FNP's NPI number?
MARISSA PIERCE, FNP's National Provider Identifier (NPI) is 1841749595, issued on 09/22/2016.
Does MARISSA PIERCE, FNP prescribe more brand-name or generic drugs?
MARISSA PIERCE, FNP's prescribing is 12% brand-name and 88% generic drugs by claim count, with $218K in brand drug costs.
Does MARISSA PIERCE, FNP prescribe opioids?
Yes, MARISSA PIERCE, FNP had 21 opioid claims in 2023 with an opioid prescribing rate of 1.0%.
How many Ambulatory Women's Health Care Registered Nurse providers are there in the US?
There are 904 Ambulatory Women's Health Care Registered Nurse providers across 51 states in the US. The average Ambulatory Women's Health Care Registered Nurse provider writes 202 Medicare Part D claims per year.
What drugs does MARISSA PIERCE, FNP prescribe most often?
Based on 2023 Medicare Part D data, MARISSA PIERCE, FNP's most frequently prescribed drugs include Amlodipine Besylate, Omeprazole, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARISSA PIERCE, FNP accept Medicare?
MARISSA PIERCE, FNP appears in CMS Medicare data with 2,188 Part D claims and 347 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARISSA PIERCE, FNP's credentials?
MARISSA PIERCE, FNP's NPI is 1841749595 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

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