2026 NPPES data Occupational Health Nurse Practitioner NPI 1427448414 FNP
Verify on CMS →

NANCY SEILER, FNP

Occupational Health Nurse Practitioner in SAN LUIS OBISPO, California. 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
4K
Medicare Part D claims · 743 beneficiaries · Occupational Health Nurse Practitioner avg: 1K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
86.6449/100
▲ 4 pts above national avg 83.1 · [object Object]

What the federal data shows

NANCY SEILER, FNP reported a CMS MIPS final score of 86.6449/100 — above the 83.1 national average — and filed 3,945 Medicare Part D claims in 2023.

86.6449/100
MIPS score · +4 vs avg
4K
Part D claims, 2023
88%
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 SEILER, FNP's MIPS score vs every scored U.S. clinician

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

87 Top 48% higher than 52% 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. 90–100: 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

What does the federal data show about NANCY SEILER, FNP?

High performer (top quartile)

NPI registry status

Active

Issued 01/28/2015

NPI 1427448414

Primary specialty

Occupational Health Nurse Practitioner

Rare

369 US NPIs in this specialty

Medicare Part D claims

3,945 248% vs specialty avg

2023 prescription claims

Specialty avg: 1,135

MIPS final score

86.6449/100 3.5449000000000126% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in California

How Occupational Health Nurse Practitioner compares to other specialties among California providers

California providers

Occupational Health Nurse Practitioner share within California

1. Occupational Health Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Occupational Health Nurse Practitioner share within California

Medicare quality performance — MIPS

NANCY SEILER, FNP's 2023 MIPS final score plotted against the Occupational Health Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
86.6449/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Occupational Health Nurse Practitioner) — 86.6449/100 vs national avg 83.1

0%100%National avg83%86.6%
MIPS final score (Occupational Health Nurse Practitioner) — 86.6449/100 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).

NANCY SEILER, FNP appears in the CMS NPPES registry as a Occupational Health Nurse Practitioner provider holding FNP credentials at 1305 PEACH ST SUITE 301, SAN LUIS OBISPO, CA, 93401, with a listed phone of (805) 250-3380. NPI 1427448414 was issued on 01/28/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SEILER 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 3,945 prescription claims written by this provider, covering 743 Medicare beneficiaries and totaling roughly $408K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 4.5%. 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 86.6449/100 for the 2023 performance year (Quality 80.1318), compared with the national average of 83.1.

Occupational Health Nurse Practitioner is a narrow specialty nationwide, with 369 enrolled providers across 47 states and an average of 1,135 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

1305 PEACH ST SUITE 301
SAN LUIS OBISPO, CA 93401

Provider Details

NPI 1427448414
Specialty Occupational Health Nurse Practitioner
Credentials FNP
Gender Female
NPI Issued 01/28/2015

CMS Quality Score (MIPS)

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

86.6449
Final Score
Avg: 83.1
80.1318
Quality
74
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where NANCY SEILER, 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.

MARY IMOGENE BASSETT HOSPITAL
COOPERSTOWN, NY

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 — 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 NANCY SEILER, FNP. To verify NANCY SEILER, FNP'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 · Typical

NANCY SEILER, FNP — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 3,945 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.

3,945
Total Claims
$408K
Total Drug Cost
743
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
8,085
Total Day Supply
232,471
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$316K
Generic Drug Cost
$91K
Opioid Claims
176 (4.5% rate)
Antibiotic Claims
54

Patient Demographics

Average Patient Age
71.8 years
Avg HCC Risk Score
1.08
Gender Split
59% female / 41% male
Age Distribution
<65: 113, 65-74: 324, 75-84: 240, 85+: 66

Top Prescribed Drugs (Medicare Part D)

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

What NANCY SEILER, FNP 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
Atorvastatin Calcium
234
Levothyroxine Sodium
127
Amlodipine Besylate
115
Losartan Potassium
106
Lisinopril
103
Prednisone
96
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
95
Omeprazole
93
Metoprolol Succinate
90
Albuterol Sulfate Hfa
Albuterol Sulfate
85

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

Occupational Health Nurse Practitioner Overview

How NANCY SEILER, FNP fits within the Occupational Health Nurse Practitioner landscape nationally.

369
Occupational Health Nurse Practitioner Providers in US
47
States with Occupational Health Nurse Practitioner
1,135
Avg Claims per Provider

NANCY SEILER, FNP's 3,945 claims are above the specialty average of 1,135.

Nearby Occupational Health Nurse Practitioner Providers in California

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

Compare Occupational Health Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is NANCY SEILER, FNP's specialty?
NANCY SEILER, FNP specializes in Occupational Health Nurse Practitioner and practices in SAN LUIS OBISPO, California. Credentials: FNP.
How much does NANCY SEILER, FNP prescribe under Medicare Part D?
In 2023, NANCY SEILER, FNP wrote 3,945 Medicare Part D claims totaling $408K in drug costs for 743 beneficiaries.
What is NANCY SEILER, FNP's Medicare quality score?
NANCY SEILER, FNP has a CMS MIPS Final Score of 86.6449/100 (Quality: 80.1318). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NANCY SEILER, FNP located?
NANCY SEILER, FNP is located at 1305 PEACH ST SUITE 301, SAN LUIS OBISPO, CA, 93401. Phone: (805) 250-3380.
What is NANCY SEILER, FNP's NPI number?
NANCY SEILER, FNP's National Provider Identifier (NPI) is 1427448414, issued on 01/28/2015.
Does NANCY SEILER, FNP prescribe more brand-name or generic drugs?
NANCY SEILER, FNP's prescribing is 12% brand-name and 88% generic drugs by claim count, with $316K in brand drug costs.
Does NANCY SEILER, FNP prescribe opioids?
Yes, NANCY SEILER, FNP had 176 opioid claims in 2023 with an opioid prescribing rate of 4.5%.
How many Occupational Health Nurse Practitioner providers are there in the US?
There are 369 Occupational Health Nurse Practitioner providers across 47 states in the US. The average Occupational Health Nurse Practitioner provider writes 1,135 Medicare Part D claims per year.
What drugs does NANCY SEILER, FNP prescribe most often?
Based on 2023 Medicare Part D data, NANCY SEILER, FNP's most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NANCY SEILER, FNP accept Medicare?
NANCY SEILER, FNP appears in CMS Medicare data with 3,945 Part D claims and 743 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NANCY SEILER, FNP's credentials?
NANCY SEILER, FNP's NPI is 1427448414 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

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