NPI registry status
Active
2026 NPPES data Family Nurse Practitioner NPI 1386197036 FNP
Verify on CMS → Melissa Ortiz, FNP
Family Nurse Practitioner in Albuquerque, New Mexico.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 210,832 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
152
Medicare Part D claims · 56 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
57%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
83.8/100
▲ 1 pts above national avg 83.1 · Above neutral
Industry payments
$48.78
3 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Melissa Ortiz, FNP reported a CMS MIPS final score of 83.8/100 - above the 83.1 national average - and filed 152 Medicare Part D claims in 2023.
- 83.8/100
- MIPS score · +1 vs avg
- 152
- Part D claims, 2023
- 57%
- generic prescribing
- $48.78
- 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.
Melissa Ortiz, FNP's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
84 42nd percentile higher than 42% of 477,587 scored providers
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
Where Melissa Ortiz, FNP sits
This provider among family nurse practitioner peers
Across the 27,154 family nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Melissa Ortiz, FNP writes more Part D claims than 28% of them and scores higher on MIPS quality than 41% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
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 Melissa Ortiz, FNP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Melissa Ortiz, FNP?
Near national averagePrimary specialty
Family Nurse Practitioner
Medicare Part D claims
152 88% vs specialty avg
MIPS final score
83.8/100 0.7 pts vs avg
Specialty distribution in New Mexico
How Family Nurse Practitioner compares to other specialties among New Mexico providers
Medicare quality performance, MIPS
Melissa Ortiz, FNP's 2023 MIPS final score plotted against the Family Nurse Practitioner national average
- MIPS Final Score
- 83.8/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Family Nurse Practitioner) - 83.8/100 vs national avg 83.1
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).
Melissa Ortiz, FNP appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding FNP credentials at 1100 CENTRAL AVE SE, Albuquerque, NM, 87106, with a listed phone of (505) 841-1234. NPI 1386197036 was issued on 07/29/2016.
Medicare Part D records for calendar year 2023 show 152 prescription claims written by this provider, covering 56 Medicare beneficiaries and totaling roughly $9K in drug spend, split 12% brand-name and 57% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 83.8/100 for the 2023 performance year (Quality 84.6, Cost 58.6), compared with the national average of 83.1.
Family Nurse Practitioner is a high-volume specialty nationwide, with 210,832 enrolled providers across 56 states and an average of 1,222 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
Provider Details
| NPI | 1386197036 |
|---|---|
| Specialty | Family Nurse Practitioner |
| Credentials | FNP |
| Gender | Female |
| NPI Issued | 07/29/2016 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
83.8451
Final Score
Avg: 83.1
84.5974
Quality
58.6394
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Melissa Ortiz, 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.
Womens Health Horizons, Inc
Albuquerque, NM
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 Ortiz, FNP. Source: openpaymentsdata.cms.gov.
Total received
$49
Largest payer
Exact Sciences Corporation
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 Ortiz, FNP - brand share 12.0%
Family Nurse Practitioner average
12% brand-name claims vs 57% generic, on 152 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.
152
Total Claims
$9K
Total Drug Cost
56
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 355
- Total Day Supply
- 10,072
- Brand vs Generic
- 12% brand / 57% generic
- Brand Drug Cost
- $465
- Generic Drug Cost
- $4K
- Antibiotic Claims
- 25
Patient Demographics
- Average Patient Age
- 68.2 years
- Avg HCC Risk Score
- 0.91
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Levothyroxine Sodium | 14 |
| Spironolactone | 12 |
| Np Thyroid "Thyroid | N/A |
| Progesterone "Progesterone | N/A |
* 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 Melissa Ortiz, FNP fits within the Family Nurse Practitioner landscape nationally.
210,832
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider
Melissa Ortiz, FNP's 152 claims are below the specialty average of 1,222.
Nearby Family Nurse Practitioner Providers in New Mexico
Other clinicians with the same primary specialty enrolled in New Mexico, drawn from the same CMS NPPES roster as Ortiz.
Dr. Danielle Abbott
NP
Santa Fe, NM
Dr. Rita Abboud
FNP-C
Farmington, NM
Dr. Chaunte Abe
APRN-CNP, FNP-C
Albuquerque, NM
Dr. Erica Abeita Chavez
FNP-C
Albuquerque, NM
Dr. Margaret Abeyta
CNP
Albuquerque, NM
Compare Family Nurse Practitioner nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the New Mexico medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Family Nurse Practitioner peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
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Medical Specialties Explained
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Understanding Medicare Claims Data
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How insurance networks affect your costs
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Explore New Mexico
Frequently Asked Questions
What is Melissa Ortiz, FNP's specialty? ▼
Melissa Ortiz, FNP specializes in Family Nurse Practitioner and practices in Albuquerque, New Mexico. Credentials: FNP.
How much does Melissa Ortiz, FNP prescribe under Medicare Part D? ▼
In 2023, Melissa Ortiz, FNP wrote 152 Medicare Part D claims totaling $9K in drug costs for 56 beneficiaries.
What is Melissa Ortiz, FNP's Medicare quality score? ▼
Melissa Ortiz, FNP has a CMS MIPS Final Score of 83.8/100 (Quality: 84.6, Cost: 58.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Melissa Ortiz, FNP located? ▼
Melissa Ortiz, FNP is located at 1100 CENTRAL AVE SE, Albuquerque, NM, 87106. Phone: (505) 841-1234.
What is Melissa Ortiz, FNP's NPI number? ▼
Melissa Ortiz, FNP's National Provider Identifier (NPI) is 1386197036, issued on 07/29/2016.
Does Melissa Ortiz, FNP prescribe more brand-name or generic drugs? ▼
Melissa Ortiz, FNP's prescribing is 12% brand-name and 57% generic drugs by claim count, with $465 in brand drug costs.
How many Family Nurse Practitioner providers are there in the US? ▼
There are 210,832 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,222 Medicare Part D claims per year.
What drugs does Melissa Ortiz, FNP prescribe most often? ▼
Based on 2023 Medicare Part D data, Melissa Ortiz, FNP's most frequently prescribed drugs include Levothyroxine Sodium, Spironolactone, Np Thyroid. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Melissa Ortiz, FNP accept Medicare? ▼
Melissa Ortiz, FNP appears in CMS Medicare data with 152 Part D claims and 56 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Melissa Ortiz, FNP's credentials? ▼
Melissa Ortiz, FNP's NPI is 1386197036 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
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 (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
Compiled from official public sources by the PlainDoctor editorial team.
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 May 2026.