2026 NPPES data Critical Care Medicine Registered Nurse NPI 1871165217 FNP
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NICOLAS VALENZUELA, FNP

Critical Care Medicine Registered Nurse in COLORADO SPRINGS, Colorado. 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
18
Medicare Part D claims · 13 beneficiaries · Critical Care Medicine Registered Nurse avg: 752
MIPS score
88.2296/100
▲ 5 pts above national avg 83.1 · [object Object]
Industry payments
$50.74
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

NICOLAS VALENZUELA, FNP reported a CMS MIPS final score of 88.2296/100 — above the 83.1 national average — and filed 18 Medicare Part D claims in 2023.

88.2296/100
MIPS score · +5 vs avg
18
Part D claims, 2023
$50.74
industry payments (Sunshine Act)

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.

NICOLAS VALENZUELA, FNP's MIPS score vs every scored U.S. clinician

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

88 Top 44% higher than 56% 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 NICOLAS VALENZUELA, FNP?

High performer (top quartile)

NPI registry status

Active

Issued 07/14/2021

NPI 1871165217

Primary specialty

Critical Care Medicine Registered Nurse

Mid-sized

6,529 US NPIs in this specialty

Medicare Part D claims

18 98% vs specialty avg

2023 prescription claims

Specialty avg: 752

MIPS final score

88.2296/100 5.129600000000011% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Colorado

How Critical Care Medicine Registered Nurse compares to other specialties among Colorado providers

Colorado providers

Critical Care Medicine Registered Nurse share within Colorado

1. Critical Care Medicine Registered Nurse42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Critical Care Medicine Registered Nurse share within Colorado

Medicare quality performance — MIPS

NICOLAS VALENZUELA, FNP's 2023 MIPS final score plotted against the Critical Care Medicine Registered Nurse national average

High performer (top quartile)
MIPS Final Score
88.2296/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Critical Care Medicine Registered Nurse) — 88.2296/100 vs national avg 83.1

0%100%National avg83%88.2%
MIPS final score (Critical Care Medicine Registered Nurse) — 88.2296/100 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).

NICOLAS VALENZUELA, FNP appears in the CMS NPPES registry as a Critical Care Medicine Registered Nurse provider holding FNP credentials at 3260 BLUE MOUNTAIN WAY, COLORADO SPRINGS, CO, 80906, with a listed phone of (559) 301-2001. NPI 1871165217 was issued on 07/14/2021. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what VALENZUELA 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 18 prescription claims written by this provider, covering 13 Medicare beneficiaries and totaling roughly $767 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 88.2296/100 for the 2023 performance year (Quality 88.9629), compared with the national average of 83.1.

Critical Care Medicine Registered Nurse is a mid-sized specialty nationwide, with 6,529 enrolled providers across 53 states and an average of 752 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

3260 BLUE MOUNTAIN WAY
COLORADO SPRINGS, CO 80906

Provider Details

NPI 1871165217
Specialty Critical Care Medicine Registered Nurse
Credentials FNP
Gender Male
NPI Issued 07/14/2021

CMS Quality Score (MIPS)

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

88.2296
Final Score
Avg: 83.1
88.9629
Quality
81
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where NICOLAS VALENZUELA, 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.

CATHOLIC HEALTH INITIATIVES COLORADO
COLORADO SPRINGS, CO

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

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for NICOLAS VALENZUELA, FNP. Source: openpaymentsdata.cms.gov.

Total received

$51

Largest payer

Hologic Sales and Service, LLC

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Medicare Part D Prescribing Data

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

18
Total Claims
$767
Total Drug Cost
13
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
18
Total Day Supply
384
Generic Drug Cost
$183

Patient Demographics

Average Patient Age
73.2 years
Avg HCC Risk Score
1.79

Critical Care Medicine Registered Nurse Overview

How NICOLAS VALENZUELA, FNP fits within the Critical Care Medicine Registered Nurse landscape nationally.

6,529
Critical Care Medicine Registered Nurse Providers in US
53
States with Critical Care Medicine Registered Nurse
752
Avg Claims per Provider

NICOLAS VALENZUELA, FNP's 18 claims are below the specialty average of 752.

Nearby Critical Care Medicine Registered Nurse Providers in Colorado

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

Compare Critical Care Medicine Registered Nurse nationally: see state-by-state distribution →

Frequently Asked Questions

What is NICOLAS VALENZUELA, FNP's specialty?
NICOLAS VALENZUELA, FNP specializes in Critical Care Medicine Registered Nurse and practices in COLORADO SPRINGS, Colorado. Credentials: FNP.
How much does NICOLAS VALENZUELA, FNP prescribe under Medicare Part D?
In 2023, NICOLAS VALENZUELA, FNP wrote 18 Medicare Part D claims totaling $767 in drug costs for 13 beneficiaries.
What is NICOLAS VALENZUELA, FNP's Medicare quality score?
NICOLAS VALENZUELA, FNP has a CMS MIPS Final Score of 88.2296/100 (Quality: 88.9629). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NICOLAS VALENZUELA, FNP located?
NICOLAS VALENZUELA, FNP is located at 3260 BLUE MOUNTAIN WAY, COLORADO SPRINGS, CO, 80906. Phone: (559) 301-2001.
What is NICOLAS VALENZUELA, FNP's NPI number?
NICOLAS VALENZUELA, FNP's National Provider Identifier (NPI) is 1871165217, issued on 07/14/2021.
How many Critical Care Medicine Registered Nurse providers are there in the US?
There are 6,529 Critical Care Medicine Registered Nurse providers across 53 states in the US. The average Critical Care Medicine Registered Nurse provider writes 752 Medicare Part D claims per year.
Does NICOLAS VALENZUELA, FNP accept Medicare?
NICOLAS VALENZUELA, FNP appears in CMS Medicare data with 18 Part D claims and 13 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NICOLAS VALENZUELA, FNP's credentials?
NICOLAS VALENZUELA, FNP's NPI is 1871165217 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