2026 NPPES data Registered Nurse NPI 1760834808 FNP
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MELISSA ALTAMIRANO, FNP

Registered Nurse in CLYDE, North Carolina. 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
717
Medicare Part D claims · 114 beneficiaries · Registered Nurse avg: 1K
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$128.36
6 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MELISSA ALTAMIRANO, FNP is a Registered Nurse ([object Object]) practicing in CLYDE, North Carolina with a Medicare Part D prescribing footprint of 717 claims across 114 beneficiaries — 17% brand-name prescribing . Industry payments of $128.36 across 6 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MELISSA ALTAMIRANO, FNP filed 717 Medicare Part D claims in 2023 across CLYDE, North Carolina. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

MELISSA ALTAMIRANO, FNP at a glance

Quality data not reported

NPI registry status

Active

Issued 07/12/2016

NPI 1760834808

Primary specialty

Registered Nurse

High-volume

175,652 US NPIs in this specialty

Medicare Part D claims

717 28% vs specialty avg

2023 prescription claims

Specialty avg: 1,000

Specialty distribution in North Carolina

How Registered Nurse compares to other specialties among North Carolina providers

North Carolina providers

Registered Nurse share within North Carolina

1. Registered Nurse42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Registered Nurse share within North Carolina

Specialty board-certification context

Estimated specialty board-certified rate — Registered Nurse (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Registered Nurse ABMS/AOA estimate

Est. board-certified rate (Registered Nurse) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (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).

MELISSA ALTAMIRANO, FNP is a Registered Nurse provider practicing in CLYDE, North Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: FNP. NPI: 1760834808. 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.

MELISSA ALTAMIRANO, FNP appears in the CMS NPPES registry as a Registered Nurse provider holding FNP credentials at 490 HOSPITAL DR, CLYDE, NC, 28721, with a listed phone of (828) 692-4289. NPI 1760834808 was issued on 07/12/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ALTAMIRANO 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 717 prescription claims written by this provider, covering 114 Medicare beneficiaries and totaling roughly $93K in drug spend, split 17% brand-name and 83% generic by claim count. 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.

Registered Nurse is a high-volume specialty nationwide, with 175,652 enrolled providers across 56 states and an average of 1,000 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

490 HOSPITAL DR
CLYDE, NC 28721

Provider Details

NPI 1760834808
Specialty Registered Nurse
Credentials FNP
Gender Female
NPI Issued 07/12/2016

Hospital and facility affiliations

Facilities where MELISSA ALTAMIRANO, FNP 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.

BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.
COLUMBUS, NC

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 MELISSA ALTAMIRANO, FNP. Source: openpaymentsdata.cms.gov.

Total received

$128

Largest payer

PFIZER INC.

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.

Brand vs generic prescribing mix · Typical

MELISSA ALTAMIRANO, FNP — brand share 17.0%
Specialty average (est.)

17% brand-name claims vs 83% generic, on 717 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.

717
Total Claims
$93K
Total Drug Cost
114
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,465
Total Day Supply
41,402
Brand vs Generic
17% brand / 83% generic
Brand Drug Cost
$81K
Generic Drug Cost
$10K
Antibiotic Claims
47

Patient Demographics

Average Patient Age
65.4 years
Avg HCC Risk Score
1.27
Gender Split
65% female / 35% male
Age Distribution
<65: 38, 65-74: 62, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
48
Albuterol Sulfate Hfa
Albuterol Sulfate
36
Gabapentin
36
Lisinopril
27
Hydrochlorothiazide
26
Ozempic
Semaglutide
22
Famotidine
18
Levothyroxine Sodium
18
Prazosin Hcl
18
Amlodipine Besylate
17

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

Registered Nurse Overview

How MELISSA ALTAMIRANO, FNP fits within the Registered Nurse landscape nationally.

175,652
Registered Nurse Providers in US
56
States with Registered Nurse
1,000
Avg Claims per Provider

MELISSA ALTAMIRANO, FNP's 717 claims are below the specialty average of 1,000.

Nearby Registered Nurse Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as ALTAMIRANO.

Compare Registered Nurse nationally: see state-by-state distribution →

Frequently Asked Questions

What is MELISSA ALTAMIRANO, FNP's specialty?
MELISSA ALTAMIRANO, FNP specializes in Registered Nurse and practices in CLYDE, North Carolina. Credentials: FNP.
How much does MELISSA ALTAMIRANO, FNP prescribe under Medicare Part D?
In 2023, MELISSA ALTAMIRANO, FNP wrote 717 Medicare Part D claims totaling $93K in drug costs for 114 beneficiaries.
Where is MELISSA ALTAMIRANO, FNP located?
MELISSA ALTAMIRANO, FNP is located at 490 HOSPITAL DR, CLYDE, NC, 28721. Phone: (828) 692-4289.
What is MELISSA ALTAMIRANO, FNP's NPI number?
MELISSA ALTAMIRANO, FNP's National Provider Identifier (NPI) is 1760834808, issued on 07/12/2016.
Does MELISSA ALTAMIRANO, FNP prescribe more brand-name or generic drugs?
MELISSA ALTAMIRANO, FNP's prescribing is 17% brand-name and 83% generic drugs by claim count, with $81K in brand drug costs.
How many Registered Nurse providers are there in the US?
There are 175,652 Registered Nurse providers across 56 states in the US. The average Registered Nurse provider writes 1,000 Medicare Part D claims per year.
What drugs does MELISSA ALTAMIRANO, FNP prescribe most often?
Based on 2023 Medicare Part D data, MELISSA ALTAMIRANO, FNP's most frequently prescribed drugs include Atorvastatin Calcium, Albuterol Sulfate Hfa, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MELISSA ALTAMIRANO, FNP accept Medicare?
MELISSA ALTAMIRANO, FNP appears in CMS Medicare data with 717 Part D claims and 114 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MELISSA ALTAMIRANO, FNP's credentials?
MELISSA ALTAMIRANO, FNP's NPI is 1760834808 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