2026 NPPES data Psychiatric/Mental Health Clinical Nurse Specialist NPI 1679797856 APRN
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NATALIE KELLY SPERANZO-OTERO, APRN

Psychiatric/Mental Health Clinical Nurse Specialist in ORANGE CITY, Florida. 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 · 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

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

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%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). This entry sits in this band. 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 NATALIE KELLY SPERANZO-OTERO, APRN?

Quality data not reported

NPI registry status

Active

Issued 04/12/2007

NPI 1679797856

Primary specialty

Psychiatric/Mental Health Clinical Nurse Specialist

Niche

980 US NPIs in this specialty

Medicare Part D claims

1,763 68% vs specialty avg

2023 prescription claims

Specialty avg: 1,050

Specialty distribution in Florida

How Psychiatric/Mental Health Clinical Nurse Specialist compares to other specialties among Florida providers

Florida providers

Psychiatric/Mental Health Clinical Nurse Specialist share within Florida

1. Psychiatric/Mental Health Clinical Nurse Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Psychiatric/Mental Health Clinical Nurse Specialist share within Florida

Specialty board-certification context

Estimated specialty board-certified rate — Psychiatric/Mental Health Clinical Nurse Specialist (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Psychiatric/Mental Health Clinical Nurse Specialist ABMS/AOA estimate

Est. board-certified rate (Psychiatric/Mental Health Clinical Nurse Specialist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Psychiatric/Mental Health Clinical Nurse Specialist) — 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).

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SPERANZO-OTERO 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 1,763 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. 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.

Psychiatric/Mental Health Clinical Nurse Specialist is a narrow specialty nationwide, with 980 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

2725 REBECCA LN STE 107
ORANGE CITY, FL 32763

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%
Specialty average (est.)

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

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
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.

Psychiatric/Mental Health Clinical Nurse Specialist Overview

How NATALIE KELLY SPERANZO-OTERO, APRN fits within the Psychiatric/Mental Health Clinical Nurse Specialist landscape nationally.

980
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.

Compare Psychiatric/Mental Health Clinical Nurse Specialist nationally: see state-by-state distribution →

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 980 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

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