2026 NPPES data Acute Care Nurse Practitioner NPI 1609226935 NP
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MONIKA AGARWAL, NP

Acute Care Nurse Practitioner in ROCHESTER, New York. 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
14
Medicare Part D claims · 11 beneficiaries · Acute Care Nurse Practitioner avg: 576
What the federal data reveals: MONIKA AGARWAL, NP is a Acute Care Nurse Practitioner ([object Object]) practicing in ROCHESTER, New York with a Medicare Part D prescribing footprint of 14 claims across 11 beneficiaries .

What stands out: MONIKA AGARWAL, NP filed 14 Medicare Part D claims in 2023 across ROCHESTER, New York. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

MONIKA AGARWAL, NP at a glance

Quality data not reported

NPI registry status

Active

Issued 06/17/2016

NPI 1609226935

Primary specialty

Acute Care Nurse Practitioner

Mid-sized

24,583 US NPIs in this specialty

Medicare Part D claims

14 98% vs specialty avg

2023 prescription claims

Specialty avg: 576

Specialty distribution in New York

How Acute Care Nurse Practitioner compares to other specialties among New York providers

New York providers

Acute Care Nurse Practitioner share within New York

1. Acute Care Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Acute Care Nurse Practitioner share within New York

Specialty board-certification context

Estimated specialty board-certified rate — Acute Care Nurse Practitioner (ABMS / AOA reference)

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

Est. board-certified rate (Acute Care Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Acute Care Nurse Practitioner) — 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).

MONIKA AGARWAL, NP is a Acute Care Nurse Practitioner provider practicing in ROCHESTER, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: NP. NPI: 1609226935. 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.

MONIKA AGARWAL, NP appears in the CMS NPPES registry as a Acute Care Nurse Practitioner provider holding NP credentials at 601 ELMWOOD AVE, ROCHESTER, NY, 14642, with a listed phone of (585) 275-5644. NPI 1609226935 was issued on 06/17/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AGARWAL 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 14 prescription claims written by this provider, covering 11 Medicare beneficiaries and totaling roughly $3K in drug spend. 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.

Acute Care Nurse Practitioner is a mid-sized specialty nationwide, with 24,583 enrolled providers across 53 states and an average of 576 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

601 ELMWOOD AVE
ROCHESTER, NY 14642

Provider Details

NPI 1609226935
Specialty Acute Care Nurse Practitioner
Credentials NP
Gender Female
NPI Issued 06/17/2016

License & disciplinary context — New York NYSBPMC 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 ~100K New York medical licensees in 2023 — they are NOT specific to MONIKA AGARWAL, NP. To verify MONIKA AGARWAL, NP's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

14
Total Claims
$3K
Total Drug Cost
11
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
22
Total Day Supply
484

Patient Demographics

Average Patient Age
70.3 years
Avg HCC Risk Score
1.10

Acute Care Nurse Practitioner Overview

How MONIKA AGARWAL, NP fits within the Acute Care Nurse Practitioner landscape nationally.

24,583
Acute Care Nurse Practitioner Providers in US
53
States with Acute Care Nurse Practitioner
576
Avg Claims per Provider

MONIKA AGARWAL, NP's 14 claims are below the specialty average of 576.

Nearby Acute Care Nurse Practitioner Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as AGARWAL.

Compare Acute Care Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is MONIKA AGARWAL, NP's specialty?
MONIKA AGARWAL, NP specializes in Acute Care Nurse Practitioner and practices in ROCHESTER, New York. Credentials: NP.
How much does MONIKA AGARWAL, NP prescribe under Medicare Part D?
In 2023, MONIKA AGARWAL, NP wrote 14 Medicare Part D claims totaling $3K in drug costs for 11 beneficiaries.
Where is MONIKA AGARWAL, NP located?
MONIKA AGARWAL, NP is located at 601 ELMWOOD AVE, ROCHESTER, NY, 14642. Phone: (585) 275-5644.
What is MONIKA AGARWAL, NP's NPI number?
MONIKA AGARWAL, NP's National Provider Identifier (NPI) is 1609226935, issued on 06/17/2016.
How many Acute Care Nurse Practitioner providers are there in the US?
There are 24,583 Acute Care Nurse Practitioner providers across 53 states in the US. The average Acute Care Nurse Practitioner provider writes 576 Medicare Part D claims per year.
Does MONIKA AGARWAL, NP accept Medicare?
MONIKA AGARWAL, NP appears in CMS Medicare data with 14 Part D claims and 11 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MONIKA AGARWAL, NP's credentials?
MONIKA AGARWAL, NP's NPI is 1609226935 with credentials NP. 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