NPI registry status
Active
2026 NPPES data Psychiatric/Mental Health Clinical Nurse Specialist NPI 1679797856 APRN
Verify on CMS → Natalie Kelly Speranzo-Otero, APRN
Psychiatric/Mental Health Clinical Nurse Specialist in Orange City, Florida.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 978 in Psychiatric/Mental Health Clinical Nurse Specialist, 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 · 135 beneficiaries · Psychiatric/Mental Health Clinical Nurse Specialist avg: 1K
Generic prescribing
98%
generic claims · 2% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Natalie Kelly Speranzo-Otero, APRN filed 1,763 Medicare Part D claims in 2023 as a Psychiatric/Mental Health Clinical Nurse Specialist in Orange City, Florida, prescribing 98% generic.
- 2K
- Part D claims, 2023
- 98%
- 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.
Natalie Kelly Speranzo-Otero, APRN's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
1,763 Top 17% higher than 83% of 1,370,886 prescribers
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 Natalie Kelly Speranzo-Otero, APRN?
Quality data not reportedPrimary specialty
Psychiatric/Mental Health Clinical Nurse Specialist
Medicare Part D claims
1,763 68% vs specialty avg
Specialty distribution in Florida
How Psychiatric/Mental Health Clinical Nurse Specialist compares to other specialties among Florida 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 Psychiatric/Mental Health Clinical Nurse Specialist. 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).
Natalie Kelly Speranzo-Otero, APRN appears in the CMS NPPES registry as a Psychiatric/Mental Health Clinical Nurse Specialist provider holding APRN credentials at 2725 REBECCA LN STE 107, Orange City, FL, 32763, with a listed phone of (386) 775-0736. NPI 1679797856 was issued on 04/12/2007.
Medicare Part D records for calendar year 2023 show 1,763 prescription claims written by this provider, covering 135 Medicare beneficiaries and totaling roughly $92K in drug spend, split 2% brand-name and 98% generic by claim count.
Psychiatric/Mental Health Clinical Nurse Specialist is a narrow specialty nationwide, with 978 enrolled providers across 50 states and an average of 1,050 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
Provider Details
| NPI | 1679797856 |
|---|---|
| Specialty | Psychiatric/Mental Health Clinical Nurse Specialist |
| Credentials | APRN |
| Gender | Female |
| NPI Issued | 04/12/2007 |
Hospital and facility affiliations
Facilities where Natalie Kelly Speranzo-Otero, APRN 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.
Adly Thebaud,md,pa
Orange City, FL
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 - Florida FLDOH 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 ~75K Florida medical licensees in 2023 - they are NOT specific to Natalie Kelly Speranzo-Otero, APRN. To verify Natalie Kelly Speranzo-Otero, APRN's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases
FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
Natalie Kelly Speranzo-Otero, APRN - brand share 2.0%
Psychiatric/Mental Health Clinical Nurse Specialist average
2% brand-name claims vs 98% generic, on 1,763 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.
1,763
Total Claims
$92K
Total Drug Cost
135
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,966
- Total Day Supply
- 88,575
- Brand vs Generic
- 2% brand / 98% generic
- Brand Drug Cost
- $25K
- Generic Drug Cost
- $66K
Patient Demographics
- Average Patient Age
- 62.8 years
- Avg HCC Risk Score
- 1.51
- Gender Split
- 65% female / 35% male
- Age Distribution
- <65: 58, 65-74: 63, 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 Natalie Kelly Speranzo-Otero, APRN prescribes most
Top Medicare Part D drugs by claim count, 2023
- Buspirone Hcl
Buspirone Hcl
181 claims
- Lamotrigine
Lamotrigine
145 claims
- Fluoxetine Hcl
Fluoxetine Hcl
135 claims
- Risperidone
Risperidone
123 claims
- Duloxetine Hcl
Duloxetine Hcl
93 claims
- Quetiapine Fumarate
Quetiapine Fumarate
91 claims
- Aripiprazole
Aripiprazole
84 claims
- Trazodone Hcl
Trazodone Hcl
83 claims
| Drug | Claims |
|---|---|
| Buspirone Hcl | 181 |
| Lamotrigine | 145 |
| Fluoxetine Hcl | 135 |
| Risperidone | 123 |
| Duloxetine Hcl | 93 |
| Quetiapine Fumarate | 91 |
| Aripiprazole | 84 |
| Trazodone Hcl | 83 |
| Bupropion Xl Bupropion Hcl | 72 |
| Escitalopram Oxalate | 70 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Psychiatric/Mental Health Clinical Nurse Specialist in FL →
All providers in Florida →
Compare specialties →
Psychiatric/Mental Health Clinical Nurse Specialist Overview
How Natalie Kelly Speranzo-Otero, APRN fits within the Psychiatric/Mental Health Clinical Nurse Specialist landscape nationally.
978
Psychiatric/Mental Health Clinical Nurse Specialist Providers in US
50
States with Psychiatric/Mental Health Clinical Nurse Specialist
1,050
Avg Claims per Provider
Natalie Kelly Speranzo-Otero, APRN's 1,763 claims are above the specialty average of 1,050.
Nearby Psychiatric/Mental Health Clinical Nurse Specialist Providers in Florida
Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as Speranzo-Otero.
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 Florida medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Psychiatric/Mental Health Clinical Nurse Specialist 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.
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Frequently Asked Questions
What is Natalie Kelly Speranzo-Otero, APRN's specialty? ▼
Natalie Kelly Speranzo-Otero, APRN specializes in Psychiatric/Mental Health Clinical Nurse Specialist and practices in Orange City, Florida. Credentials: APRN.
How much does Natalie Kelly Speranzo-Otero, APRN prescribe under Medicare Part D? ▼
In 2023, Natalie Kelly Speranzo-Otero, APRN wrote 1,763 Medicare Part D claims totaling $92K in drug costs for 135 beneficiaries.
Where is Natalie Kelly Speranzo-Otero, APRN located? ▼
Natalie Kelly Speranzo-Otero, APRN is located at 2725 REBECCA LN STE 107, Orange City, FL, 32763. Phone: (386) 775-0736.
What is Natalie Kelly Speranzo-Otero, APRN's NPI number? ▼
Natalie Kelly Speranzo-Otero, APRN's National Provider Identifier (NPI) is 1679797856, issued on 04/12/2007.
Does Natalie Kelly Speranzo-Otero, APRN prescribe more brand-name or generic drugs? ▼
Natalie Kelly Speranzo-Otero, APRN's prescribing is 2% brand-name and 98% generic drugs by claim count, with $25K in brand drug costs.
How many Psychiatric/Mental Health Clinical Nurse Specialist providers are there in the US? ▼
There are 978 Psychiatric/Mental Health Clinical Nurse Specialist providers across 50 states in the US. The average Psychiatric/Mental Health Clinical Nurse Specialist provider writes 1,050 Medicare Part D claims per year.
What drugs does Natalie Kelly Speranzo-Otero, APRN prescribe most often? ▼
Based on 2023 Medicare Part D data, Natalie Kelly Speranzo-Otero, APRN's most frequently prescribed drugs include Buspirone Hcl, Lamotrigine, Fluoxetine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Natalie Kelly Speranzo-Otero, APRN accept Medicare? ▼
Natalie Kelly Speranzo-Otero, APRN appears in CMS Medicare data with 1,763 Part D claims and 135 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Natalie Kelly Speranzo-Otero, APRN's credentials? ▼
Natalie Kelly Speranzo-Otero, APRN's NPI is 1679797856 with credentials APRN. 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 (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
Compiled from official public sources by the PlainDoctor editorial team.
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 May 2026.