2026 NPPES data Family Nurse Practitioner NPI 1588902258 FNP-C
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Monica Dawley, FNP-C

Family Nurse Practitioner in San Jose, California. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 209,817 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
2K
Medicare Part D claims · 184 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
42%
generic claims · 50% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
80.6/100
▼ 3 pts below national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Monica Dawley, FNP-C reported a CMS MIPS final score of 80.6/100 - below the 83.1 national average - and filed 2,261 Medicare Part D claims in 2023.

80.6/100
MIPS score · -3 vs avg
2K
Part D claims, 2023
42%
generic prescribing

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.

Monica Dawley, FNP-C's MIPS score vs every scored U.S. clinician

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

81 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+: 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

Where Monica Dawley, FNP-C 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, Monica Dawley, FNP-C writes more Part D claims than 83% of them and scores higher on MIPS quality than 31% - placing this provider in the high-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100022.344.666.989.3Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 43Monica Dawley, FNP-C-Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 31
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 Monica Dawley, FNP-C. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Monica Dawley, FNP-C?

Near national average

NPI registry status

Active

Issued 01/30/2013

NPI 1588902258

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

2,261 85% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

MIPS final score

80.6/100 2.5 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in California

How Family Nurse Practitioner compares to other specialties among California providers

California providers

Largest specialties in California (% of in-state providers)

Behavior Technician - 17.3%Behavior Technician17.3%Marriage & Family Therapist - 5.5%Marriage & Family Therapist5.5%Student in an Organized Health Care Education/Training Program - 5%Student in an Organized Health Care Education/Training Program5%Mental Health Counselor - 3.9%Mental Health Counselor3.9%Pharmacist - 3.5%Pharmacist3.5%Clinical Social Worker - 3.1%Clinical Social Worker3.1%Family Nurse Practitioner - 1.6%Family Nurse Practitioner1.6%
Largest specialties in California (% of in-state providers)

Medicare quality performance, MIPS

Monica Dawley, FNP-C's 2023 MIPS final score plotted against the Family Nurse Practitioner national average

Near national average
MIPS Final Score
80.6/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Nurse Practitioner) - 80.6/100 vs national avg 83.1

0%100%National avg83%80.6%
MIPS final score (Family Nurse Practitioner) - 80.6/100 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).

Monica Dawley, FNP-C appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding FNP-C credentials at 2880 STORY RD, San Jose, CA, 95127, with a listed phone of (408) 729-9700. NPI 1588902258 was issued on 01/30/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Dawley 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 2,261 prescription claims written by this provider, covering 184 Medicare beneficiaries and totaling roughly $1.3 million in drug spend, split 50% brand-name and 42% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 80.6/100 for the 2023 performance year (Quality 67.4, Cost 46.5), compared with the national average of 83.1.

Family Nurse Practitioner is a high-volume specialty nationwide, with 209,817 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

2880 STORY RD
San Jose, CA 95127

Provider Details

NPI 1588902258
Specialty Family Nurse Practitioner
Credentials FNP-C
Gender Female
NPI Issued 01/30/2013

CMS Quality Score (MIPS)

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

80.5834
Final Score
Avg: 83.1
67.4314
Quality
46.5098
Cost
100
Promoting Interoperability

Reporting: Group practice

License & disciplinary context - California MBC 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 ~150K California medical licensees in 2023 - they are NOT specific to Monica Dawley, FNP-C. To verify Monica Dawley, FNP-C's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

Monica Dawley, FNP-C - brand share 50.0%
Family Nurse Practitioner average

50% brand-name claims vs 42% generic, on 2,261 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.

2,261
Total Claims
$1.3M
Total Drug Cost
184
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,220
Total Day Supply
155,496
Brand vs Generic
50% brand / 42% generic
Brand Drug Cost
$1.2M
Generic Drug Cost
$23K

Patient Demographics

Average Patient Age
70.9 years
Avg HCC Risk Score
1.50
Gender Split
57% female / 43% male

Top Prescribed Drugs (Medicare Part D)

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

What Monica Dawley, FNP-C 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
Trulicity
Dulaglutide
420
Metformin Hcl
320
Glipizide
142
Atorvastatin Calcium
136
Jardiance
Empagliflozin
129
Tradjenta
Linagliptin
81
Novolog Flexpen
Insulin Aspart
65
Semglee (Yfgn) Pen
Insulin Glargine-Yfgn
65
Ozempic
Semaglutide
59
Amlodipine Besylate
57

* 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 Monica Dawley, FNP-C fits within the Family Nurse Practitioner landscape nationally.

209,817
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider

Monica Dawley, FNP-C's 2,261 claims are above the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in California

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

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 California 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.

Frequently Asked Questions

What is Monica Dawley, FNP-C's specialty?
Monica Dawley, FNP-C specializes in Family Nurse Practitioner and practices in San Jose, California. Credentials: FNP-C.
How much does Monica Dawley, FNP-C prescribe under Medicare Part D?
In 2023, Monica Dawley, FNP-C wrote 2,261 Medicare Part D claims totaling $1.3M in drug costs for 184 beneficiaries.
What is Monica Dawley, FNP-C's Medicare quality score?
Monica Dawley, FNP-C has a CMS MIPS Final Score of 80.6/100 (Quality: 67.4, Cost: 46.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Monica Dawley, FNP-C located?
Monica Dawley, FNP-C is located at 2880 STORY RD, San Jose, CA, 95127. Phone: (408) 729-9700.
What is Monica Dawley, FNP-C's NPI number?
Monica Dawley, FNP-C's National Provider Identifier (NPI) is 1588902258, issued on 01/30/2013.
Does Monica Dawley, FNP-C prescribe more brand-name or generic drugs?
Monica Dawley, FNP-C's prescribing is 50% brand-name and 42% generic drugs by claim count, with $1.2M in brand drug costs.
How many Family Nurse Practitioner providers are there in the US?
There are 209,817 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 Monica Dawley, FNP-C prescribe most often?
Based on 2023 Medicare Part D data, Monica Dawley, FNP-C's most frequently prescribed drugs include Trulicity, Metformin Hcl, Glipizide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Monica Dawley, FNP-C accept Medicare?
Monica Dawley, FNP-C appears in CMS Medicare data with 2,261 Part D claims and 184 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Monica Dawley, FNP-C's credentials?
Monica Dawley, FNP-C's NPI is 1588902258 with credentials FNP-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

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.