NPI registry status
Active
2026 NPPES data Family Nurse Practitioner NPI 1609456979 APRN-C
Verify on CMS → Melanie Paluay, APRN-C
Family Nurse Practitioner in Las Vegas, Nevada.
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
706
Medicare Part D claims · 89 beneficiaries · Family Nurse Practitioner avg: 1K
MIPS score
75/100
CMS neutral threshold · no category scores published
What the federal data shows
Melanie Paluay, APRN-C carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 706 Medicare Part D claims in 2024.
- 75/100
- CMS neutral score · not measured
- 706
- Part D claims, 2024
- ≥70th
- 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 Melanie Paluay, APRN-C
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 1609456979), first enumerated 04/12/2021.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 706 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)
CMS assigned a neutral MIPS final score of 75/100 where no performance category was scored — not a measured quality rank.
Source: CMS Quality Payment Program
- Reported
Hospital affiliations
2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- 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 Paluay with other Family Nurse Practitioner providers
Same primary specialty, same federal CMS NPPES roster.
All 1,099 Family Nurse Practitioner providers in Las Vegas, NV →
Also enrolled in Nevada
- Leozochyl Aballi Martinez, NP Las Vegas, NV
- Marcial Abalos, APRN-CNP Las Vegas, NV
- Juan Abarca Paredes, FNP-C Las Vegas, NV
- Senialita Abarquez, APRN Las Vegas, NV
- Soudabeh Abdi, FNP Henderson, NV
- Loreydel Abia, APRN Las Vegas, NV
Other specialties in Las Vegas: Personal Care Attendant (20,869) · Behavior Technician (4,129) · Chore Provider (3,670) · Rehabilitation Practitioner (3,577)
CMS NPPES provider registry desk
NPI 1609456979 · Family Nurse Practitioner
NPI-10 · ENUM-RECENT · TAX-MEGA · MIPS-NEUTRAL · RX-LIGHT · BOOK-LIGHT · PHOTO-ENUM
- NPI-10 1609456979
- ENUM-RECENT 2021
- TAX-MEGA 217K Family Nurse
- MIPS-NEUTRAL 75/100
- RX-LIGHT 706
- BOOK-LIGHT 1,969 in Nevada
- PHOTO-ENUM Kristine Abigael Mal… · 2021
Melanie Paluay, APRN-C's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
706 ≥ 70th percentile 70% of 1,416,883 prescribers are in lower value bands
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 Melanie Paluay, APRN-C?
CMS neutral score, not measuredPrimary specialty
Family Nurse Practitioner
Medicare Part D claims
706 46% vs specialty avg
MIPS final score
75/100
Specialty distribution in Nevada
How Family Nurse Practitioner compares to other specialties among Nevada providers
MIPS score not measured
CMS assigned a neutral 75/100 threshold
CMS did not publish any Quality, Cost, Promoting Interoperability, or Improvement Activities category score for this clinician. This administrative threshold is not comparable with the national average of clinicians whose MIPS score was measured.
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
Provider Details
| NPI | 1609456979 |
|---|---|
| Specialty | Family Nurse Practitioner |
| Credentials | APRN-C |
| Gender | Female |
| NPI Issued | 04/12/2021 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75
Final Score
CMS neutral threshold · not measured
Reporting: Group practice
Hospital and facility affiliations
Facilities where Melanie Paluay, APRN-C 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.
Las Vegas Vascular And Interventional Specialists, LLC
Las Vegas, NV
Valley Primary Care Center LLC
Las Vegas, NV
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
706
Total Claims
$44K
Total Drug Cost
89
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 785.867
- Total Day Supply
- 16,579
- Generic Drug Cost
- $10K
Patient Demographics
- Average Patient Age
- 79.6 years
- Avg HCC Risk Score
- 3.27
- Gender Split
- 62% female / 38% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Melanie Paluay, APRN-C prescribes most
Top Medicare Part D drugs by claim count, 2024
- Eliquis
Eliquis
34 claims
- Levothyroxine Sodium
Levothyroxine Sodium
33 claims
- Metoprolol Tartrate
Metoprolol Tartrate
30 claims
- Furosemide
Furosemide
28 claims
- Atorvastatin Calcium
Atorvastatin Calcium
26 claims
- Donepezil Hcl
Donepezil Hcl
23 claims
- Famotidine
Famotidine
21 claims
- Potassium Chloride
Potassium Chloride
19 claims
| Drug | Claims |
|---|---|
| Eliquis Apixaban | 34 |
| Levothyroxine Sodium | 33 |
| Metoprolol Tartrate | 30 |
| Furosemide | 28 |
| Atorvastatin Calcium | 26 |
| Donepezil Hcl | 23 |
| Famotidine | 21 |
| Potassium Chloride | 19 |
| Pantoprazole Sodium | 18 |
| Amlodipine Besylate | 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 Melanie Paluay, APRN-C 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
Melanie Paluay, APRN-C's 706 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 Paluay, both outside Nevada so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (75 here).
Same NPPES enumeration year (2021)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Nurse Practitioner Providers in Nevada
Other clinicians with the same primary specialty enrolled in Nevada, drawn from the same CMS NPPES roster as Paluay.
One of 1,969 Family Nurse Practitioner providers enrolled in Nevada, 11 are shown on this page.
Jacqueline Abola
APRN FNP-C
Las Vegas, NV
Simon Abraham
Las Vegas, NV
Elizabeth Acevedo
APRN-C
Carson City, NV
Bridget Ache
NP
Las Vegas, NV
Daniel Sam Acierto
Henderson, NV
Compare Family Nurse Practitioner nationally: see state-by-state distribution →
Frequently Asked Questions
What is Melanie Paluay, APRN-C's specialty? ▼
Melanie Paluay, APRN-C specializes in Family Nurse Practitioner and practices in Las Vegas, Nevada. Credentials: APRN-C.
How much does Melanie Paluay, APRN-C prescribe under Medicare Part D? ▼
In 2024, Melanie Paluay, APRN-C wrote 706 Medicare Part D claims totaling $44K in drug costs for 89 beneficiaries.
What is Melanie Paluay, APRN-C's Medicare quality score? ▼
Melanie Paluay, APRN-C has a CMS MIPS Final Score of 75/100. CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score for this clinician, so the final score is the neutral performance threshold CMS assigns rather than a measured result. 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 Melanie Paluay, APRN-C located? ▼
Melanie Paluay, APRN-C is located at 3758 LAS VEGAS BLVD S, Las Vegas, NV, 89109. Phone: (702) 262-9284.
What is Melanie Paluay, APRN-C's NPI number? ▼
Melanie Paluay, APRN-C's National Provider Identifier (NPI) is 1609456979, issued on 04/12/2021.
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 Melanie Paluay, APRN-C prescribe most often? ▼
Based on 2024 Medicare Part D data, Melanie Paluay, APRN-C's most frequently prescribed drugs include Eliquis, Levothyroxine Sodium, Metoprolol Tartrate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Melanie Paluay, APRN-C accept Medicare? ▼
Melanie Paluay, APRN-C appears in CMS Medicare data with 706 Part D claims and 89 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Melanie Paluay, APRN-C's credentials? ▼
Melanie Paluay, APRN-C's NPI is 1609456979 with credentials APRN-C. 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.