NPI registry status
Active
2026 NPPES data Family Nurse Practitioner NPI 1750930426 ARNP
Verify on CMS → Melissa Rachuy, ARNP
Family Nurse Practitioner in Marshalltown, Iowa.
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
278
Medicare Part D claims · 117 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Melissa Rachuy, ARNP filed 278 Medicare Part D claims in 2024 as a Family Nurse Practitioner in Marshalltown, Iowa, prescribing 95% generic.
- 278
- Part D claims, 2024
- 95%
- generic prescribing
- ≥48th
- 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 Melissa Rachuy, ARNP
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 1750930426), first enumerated 09/05/2019.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 278 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation 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.
CMS NPPES provider registry desk
NPI 1750930426 · Family Nurse Practitioner
NPI-10 · ENUM-RECENT · TAX-MEGA · RX-LIGHT · BOOK-LIGHT · PHOTO-ENUM
- NPI-10 1750930426
- ENUM-RECENT 2019
- TAX-MEGA 217K Family Nurse
- RX-LIGHT 278
- BOOK-LIGHT 1,907 in Iowa
- PHOTO-ENUM Rebecca Wiles · 2019
Melissa Rachuy, ARNP's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
278 ≥ 48th percentile 48% 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 Melissa Rachuy, ARNP?
Quality data not reportedPrimary specialty
Family Nurse Practitioner
Medicare Part D claims
278 79% vs specialty avg
Specialty distribution in Iowa
How Family Nurse Practitioner compares to other specialties among Iowa providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Family Nurse Practitioner. Verify directly:
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 | 1750930426 |
|---|---|
| Specialty | Family Nurse Practitioner |
| Credentials | ARNP |
| Gender | Female |
| NPI Issued | 09/05/2019 |
Hospital and facility affiliations
Facilities where Melissa Rachuy, 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.
Your Time Medical LLC
Iowa Falls, IA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Generic-heavy
Melissa Rachuy, ARNP - brand share 5.0%
Family Nurse Practitioner average
5% brand-name claims vs 95% generic, on 278 2024 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 2024.
278
Total Claims
$2K
Total Drug Cost
117
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 326.033
- Total Day Supply
- 5,307
- Brand vs Generic
- 5% brand / 95% generic
- Brand Drug Cost
- $116
- Generic Drug Cost
- $2K
- Opioid Claims
- 16 (5.8% rate)
- Antibiotic Claims
- 94
Patient Demographics
- Average Patient Age
- 70.2 years
- Avg HCC Risk Score
- 0.95
- Gender Split
- 66% female / 34% male
- Age Distribution
- <65: 20, 65-74: 53, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Melissa Rachuy, ARNP prescribes most
Top Medicare Part D drugs by claim count, 2024
- Prednisone
Prednisone
31 claims
- Topiramate
Topiramate
26 claims
- Azithromycin
Azithromycin
25 claims
- Amoxicillin-Clavul… 12
Amoxicillin-Clavulanate Potass
12 claims
- Cephalexin 11
Cephalexin
11 claims
- Diclofenac Sodium 11
Diclofenac Sodium
11 claims
- Lisinopril 11
Lisinopril
11 claims
| Drug | Claims |
|---|---|
| Prednisone | 31 |
| Topiramate | 26 |
| Azithromycin | 25 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 12 |
| Cephalexin | 11 |
| Diclofenac Sodium | 11 |
| Lisinopril | 11 |
* 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 Rachuy, ARNP 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
Melissa Rachuy, ARNP's 278 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 Rachuy, both outside Iowa so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2019)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Nurse Practitioner Providers in Iowa
Other clinicians with the same primary specialty enrolled in Iowa, drawn from the same CMS NPPES roster as Rachuy.
One of 1,907 Family Nurse Practitioner providers enrolled in Iowa, 5 are shown here.
Lynne Abbott
Cedar Rapids, IA
Amina Abdullah
Cedar Rapids, IA
Dr. Brandon Abel
DNP
Iowa City, IA
Rachel Ackerman
NP
Sheldon, IA
Tonia Ackerman
ARNP
Pleasant Hill, IA
Compare Family Nurse Practitioner nationally: see state-by-state distribution →
Frequently Asked Questions
What is Melissa Rachuy, ARNP's specialty? ▼
Melissa Rachuy, ARNP specializes in Family Nurse Practitioner and practices in Marshalltown, Iowa. Credentials: ARNP.
How much does Melissa Rachuy, ARNP prescribe under Medicare Part D? ▼
In 2024, Melissa Rachuy, ARNP wrote 278 Medicare Part D claims totaling $2K in drug costs for 117 beneficiaries.
Where is Melissa Rachuy, ARNP located? ▼
Melissa Rachuy, ARNP is located at 3 S 4TH AVE, Marshalltown, IA, 50158. Phone: (641) 754-5145.
What is Melissa Rachuy, ARNP's NPI number? ▼
Melissa Rachuy, ARNP's National Provider Identifier (NPI) is 1750930426, issued on 09/05/2019.
Does Melissa Rachuy, ARNP prescribe more brand-name or generic drugs? ▼
Melissa Rachuy, ARNP's prescribing is 5% brand-name and 95% generic drugs by claim count, with $116 in brand drug costs.
Does Melissa Rachuy, ARNP prescribe opioids? ▼
Yes, Melissa Rachuy, ARNP had 16 opioid claims in 2024 with an opioid prescribing rate of 5.8%.
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 Melissa Rachuy, ARNP prescribe most often? ▼
Based on 2024 Medicare Part D data, Melissa Rachuy, ARNP's most frequently prescribed drugs include Prednisone, Topiramate, Azithromycin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Melissa Rachuy, ARNP accept Medicare? ▼
Melissa Rachuy, ARNP appears in CMS Medicare data with 278 Part D claims and 117 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Melissa Rachuy, ARNP's credentials? ▼
Melissa Rachuy, ARNP's NPI is 1750930426 with credentials 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
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.
- 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.