2026 NPPES data Adult Health Nurse Practitioner NPI 1073759486 RN, ARNP
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MARLES GEIST, RN, ARNP

Adult Health Nurse Practitioner in CHEHALIS, 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
642
Medicare Part D claims · 112 beneficiaries · Adult Health Nurse Practitioner avg: 1K
MIPS score
80.2768/100
▼ 3 pts below national avg 83.1 · [object Object]
Industry payments
$43.59
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MARLES GEIST, RN, ARNP reported a CMS MIPS final score of 80.2768/100 — below the 83.1 national average — and filed 642 Medicare Part D claims in 2023.

80.2768/100
MIPS score · -3 vs avg
642
Part D claims, 2023
$43.59
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.

MARLES GEIST, RN, ARNP's MIPS score vs every scored U.S. clinician

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

80 33rd percentile higher than 33% 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%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 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 MARLES GEIST, RN, ARNP?

Near national average

NPI registry status

Active

Issued 01/07/2009

NPI 1073759486

Primary specialty

Adult Health Nurse Practitioner

Mid-sized

29,492 US NPIs in this specialty

Medicare Part D claims

642 47% vs specialty avg

2023 prescription claims

Specialty avg: 1,201

MIPS final score

80.2768/100 2.8232% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Washington

How Adult Health Nurse Practitioner compares to other specialties among Washington providers

Washington providers

Adult Health Nurse Practitioner share within Washington

1. Adult Health Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Health Nurse Practitioner share within Washington

Medicare quality performance — MIPS

MARLES GEIST, RN, ARNP's 2023 MIPS final score plotted against the Adult Health Nurse Practitioner national average

Near national average
MIPS Final Score
80.2768/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Health Nurse Practitioner) — 80.2768/100 vs national avg 83.1

0%100%National avg83%80.3%
MIPS final score (Adult Health Nurse Practitioner) — 80.2768/100 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).

MARLES GEIST, RN, ARNP appears in the CMS NPPES registry as a Adult Health Nurse Practitioner provider holding RN, ARNP credentials at 1201 BISHOP RD, CHEHALIS, WA, 98532, with a listed phone of (360) 345-1381. NPI 1073759486 was issued on 01/07/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GEIST 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 642 prescription claims written by this provider, covering 112 Medicare beneficiaries and totaling roughly $672K in drug spend, with an opioid prescribing rate of 10.4%. 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 80.2768/100 for the 2023 performance year (Quality 76.8321, Cost 55.3675), compared with the national average of 83.1.

Adult Health Nurse Practitioner is a mid-sized specialty nationwide, with 29,492 enrolled providers across 55 states and an average of 1,201 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

1201 BISHOP RD
CHEHALIS, WA 98532

Provider Details

NPI 1073759486
Specialty Adult Health Nurse Practitioner
Credentials RN, ARNP
Gender Female
NPI Issued 01/07/2009

CMS Quality Score (MIPS)

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

80.2768
Final Score
Avg: 83.1
76.8321
Quality
55.3675
Cost
90
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MARLES GEIST, RN, ARNP 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.

NORTHWEST MEDICAL SPECIALTIES PLLC
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 MARLES GEIST, RN, ARNP. Source: openpaymentsdata.cms.gov.

Total received

$44

Largest payer

Eisai Inc.

Most common payment type

Education

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 MARLES GEIST, RN, ARNP. To verify MARLES GEIST, RN, ARNP'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.

642
Total Claims
$672K
Total Drug Cost
112
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,247
Total Day Supply
35,722
Generic Drug Cost
$70K
Opioid Claims
67 (10.4% rate)
Antibiotic Claims
13

Patient Demographics

Average Patient Age
75.2 years
Avg HCC Risk Score
1.82
Gender Split
69% female / 31% male

Top Prescribed Drugs (Medicare Part D)

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

What MARLES GEIST, RN, ARNP 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
45
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
38
Levothyroxine Sodium
38
Losartan Potassium
22
Prednisone
20
Lorazepam
19
Oxycodone Hcl
18
Lisinopril
17
Omeprazole
16
Anastrozole
13

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

Adult Health Nurse Practitioner Overview

How MARLES GEIST, RN, ARNP fits within the Adult Health Nurse Practitioner landscape nationally.

29,492
Adult Health Nurse Practitioner Providers in US
55
States with Adult Health Nurse Practitioner
1,201
Avg Claims per Provider

MARLES GEIST, RN, ARNP's 642 claims are below the specialty average of 1,201.

Nearby Adult Health Nurse Practitioner Providers in Washington

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

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

Frequently Asked Questions

What is MARLES GEIST, RN, ARNP's specialty?
MARLES GEIST, RN, ARNP specializes in Adult Health Nurse Practitioner and practices in CHEHALIS, Washington. Credentials: RN, ARNP.
How much does MARLES GEIST, RN, ARNP prescribe under Medicare Part D?
In 2023, MARLES GEIST, RN, ARNP wrote 642 Medicare Part D claims totaling $672K in drug costs for 112 beneficiaries.
What is MARLES GEIST, RN, ARNP's Medicare quality score?
MARLES GEIST, RN, ARNP has a CMS MIPS Final Score of 80.2768/100 (Quality: 76.8321, Cost: 55.3675). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARLES GEIST, RN, ARNP located?
MARLES GEIST, RN, ARNP is located at 1201 BISHOP RD, CHEHALIS, WA, 98532. Phone: (360) 345-1381.
What is MARLES GEIST, RN, ARNP's NPI number?
MARLES GEIST, RN, ARNP's National Provider Identifier (NPI) is 1073759486, issued on 01/07/2009.
Does MARLES GEIST, RN, ARNP prescribe opioids?
Yes, MARLES GEIST, RN, ARNP had 67 opioid claims in 2023 with an opioid prescribing rate of 10.4%.
How many Adult Health Nurse Practitioner providers are there in the US?
There are 29,492 Adult Health Nurse Practitioner providers across 55 states in the US. The average Adult Health Nurse Practitioner provider writes 1,201 Medicare Part D claims per year.
What drugs does MARLES GEIST, RN, ARNP prescribe most often?
Based on 2023 Medicare Part D data, MARLES GEIST, RN, ARNP's most frequently prescribed drugs include Letrozole, Hydrocodone-Acetaminophen, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARLES GEIST, RN, ARNP accept Medicare?
MARLES GEIST, RN, ARNP appears in CMS Medicare data with 642 Part D claims and 112 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARLES GEIST, RN, ARNP's credentials?
MARLES GEIST, RN, ARNP's NPI is 1073759486 with credentials RN, ARNP. 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