2026 NPPES data Clinical Social Worker NPI 1316151368 PMHNP-BC, LMSW
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Nancy Roope, PMHNP-BC, LMSW

Clinical Social Worker in Everett, Washington. 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
2K
Medicare Part D claims · 146 beneficiaries · Clinical Social Worker avg: 716
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

Nancy Roope, PMHNP-BC, LMSW filed 1,518 Medicare Part D claims in 2023 as a Clinical Social Worker in Everett, Washington, prescribing 96% generic.

2K
Part D claims, 2023
96%
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.

Nancy Roope, PMHNP-BC, LMSW's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

1,518 Top 19% higher than 81% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). This entry sits in this band. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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.

Source CMS Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about Nancy Roope, PMHNP-BC, LMSW?

Quality data not reported

NPI registry status

Active

Issued 05/09/2007

NPI 1316151368

Primary specialty

Clinical Social Worker

High-volume

272,898 US NPIs in this specialty

Medicare Part D claims

1,518 112% vs specialty avg

2023 prescription claims

Specialty avg: 716

Specialty distribution in Washington

How Clinical Social Worker compares to other specialties among Washington providers

Washington providers

Clinical Social Worker share within Washington

1. Clinical Social Worker42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Clinical Social Worker share within Washington

Specialty board-certification context

Estimated specialty board-certified rate — Clinical Social Worker (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Clinical Social Worker ABMS/AOA estimate

Est. board-certified rate (Clinical Social Worker) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Clinical Social Worker) — 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).

Nancy Roope, PMHNP-BC, LMSW appears in the CMS NPPES registry as a Clinical Social Worker provider holding PMHNP-BC, LMSW credentials at 1728 W MARINE VIEW DR, Everett, WA, 98201, with a listed phone of (425) 339-5453. NPI 1316151368 was issued on 05/09/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Roope 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 1,518 prescription claims written by this provider, covering 146 Medicare beneficiaries and totaling roughly $141K in drug spend, split 4% brand-name and 96% 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.

Clinical Social Worker is a high-volume specialty nationwide, with 272,898 enrolled providers across 56 states and an average of 716 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

1728 W MARINE VIEW DR
Everett, WA 98201

Provider Details

NPI 1316151368
Specialty Clinical Social Worker
Credentials PMHNP-BC, LMSW
Gender Female
NPI Issued 05/09/2007

Hospital and facility affiliations

Facilities where Nancy Roope, PMHNP-BC, LMSW 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.

Optum Care Washington PLLC
Everett, WA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Washington WMC 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 ~34K Washington medical licensees in 2023 — they are NOT specific to Nancy Roope, PMHNP-BC, LMSW. To verify Nancy Roope, PMHNP-BC, LMSW's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC 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 Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

Nancy Roope, PMHNP-BC, LMSW — brand share 4.0%
Specialty average (est.)

4% brand-name claims vs 96% generic, on 1,518 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.

1,518
Total Claims
$141K
Total Drug Cost
146
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,481
Total Day Supply
72,678
Brand vs Generic
4% brand / 96% generic
Brand Drug Cost
$110K
Generic Drug Cost
$32K

Patient Demographics

Average Patient Age
64.4 years
Avg HCC Risk Score
1.98
Gender Split
66% female / 34% male
Age Distribution
<65: 52, 65-74: 70, 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.

What Nancy Roope, PMHNP-BC, LMSW 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
Quetiapine Fumarate
153
Sertraline Hcl
90
Buspirone Hcl
89
Bupropion Xl
Bupropion Hcl
85
Escitalopram Oxalate
84
Trazodone Hcl
82
Venlafaxine Hcl Er
Venlafaxine Hcl
67
Mirtazapine
64
Duloxetine Hcl
62
Aripiprazole
61

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

Clinical Social Worker Overview

How Nancy Roope, PMHNP-BC, LMSW fits within the Clinical Social Worker landscape nationally.

272,898
Clinical Social Worker Providers in US
56
States with Clinical Social Worker
716
Avg Claims per Provider

Nancy Roope, PMHNP-BC, LMSW's 1,518 claims are above the specialty average of 716.

Nearby Clinical Social Worker Providers in Washington

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

Compare Clinical Social Worker 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 Washington medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Clinical Social Worker 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 Nancy Roope, PMHNP-BC, LMSW's specialty?
Nancy Roope, PMHNP-BC, LMSW specializes in Clinical Social Worker and practices in Everett, Washington. Credentials: PMHNP-BC, LMSW.
How much does Nancy Roope, PMHNP-BC, LMSW prescribe under Medicare Part D?
In 2023, Nancy Roope, PMHNP-BC, LMSW wrote 1,518 Medicare Part D claims totaling $141K in drug costs for 146 beneficiaries.
Where is Nancy Roope, PMHNP-BC, LMSW located?
Nancy Roope, PMHNP-BC, LMSW is located at 1728 W MARINE VIEW DR, Everett, WA, 98201. Phone: (425) 339-5453.
What is Nancy Roope, PMHNP-BC, LMSW's NPI number?
Nancy Roope, PMHNP-BC, LMSW's National Provider Identifier (NPI) is 1316151368, issued on 05/09/2007.
Does Nancy Roope, PMHNP-BC, LMSW prescribe more brand-name or generic drugs?
Nancy Roope, PMHNP-BC, LMSW's prescribing is 4% brand-name and 96% generic drugs by claim count, with $110K in brand drug costs.
How many Clinical Social Worker providers are there in the US?
There are 272,898 Clinical Social Worker providers across 56 states in the US. The average Clinical Social Worker provider writes 716 Medicare Part D claims per year.
What drugs does Nancy Roope, PMHNP-BC, LMSW prescribe most often?
Based on 2023 Medicare Part D data, Nancy Roope, PMHNP-BC, LMSW's most frequently prescribed drugs include Quetiapine Fumarate, Sertraline Hcl, Buspirone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Nancy Roope, PMHNP-BC, LMSW accept Medicare?
Nancy Roope, PMHNP-BC, LMSW appears in CMS Medicare data with 1,518 Part D claims and 146 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Nancy Roope, PMHNP-BC, LMSW's credentials?
Nancy Roope, PMHNP-BC, LMSW's NPI is 1316151368 with credentials PMHNP-BC, LMSW. 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