NPI registry status
Active
2026 NPPES data Physician Assistant NPI 1831439108 PA-C
Verify on CMS → Nicole Alexander, PA-C
Physician Assistant in Laramie, Wyoming.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 156,084 in Physician Assistant, 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
831
Medicare Part D claims · 151 beneficiaries · Physician Assistant avg: 832
MIPS score
58.5/100
▼ 25 pts below national avg 83.5 · Mid-tier
What the federal data shows
Nicole Alexander, PA-C reported a CMS MIPS final score of 58.5/100 - below the 83.5 national average - and filed 831 Medicare Part D claims in 2024.
- 58.5/100
- MIPS score · -25 vs avg
- 831
- Part D claims, 2024
- ≥5th
- pct among measured MIPS (lower-bound band)
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.
Federal trust snapshot
What official records show about Nicole Alexander, PA-C
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1831439108), first enumerated 02/25/2013.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 831 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 58.5/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1831439108 · Physician Assistant
NPI-10 · ENUM-MID · TAX-MEGA · MIPS-LOW · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1831439108
- ENUM-MID 2013
- TAX-MEGA 156K Physician Assistant
- MIPS-LOW 58.5/100
- RX-LIGHT 831
- BOOK-THIN 250 in Wyoming
- PHOTO-FINISH Robert Keel · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Megan Lee · lowest
Megan Lee
58.4 MIPS pts
- Alexander · this…
Alexander · this provider
58.5 MIPS pts
- Carol Castile · …
Carol Castile
58.5 MIPS pts
- Robert Keel · near
Robert Keel
58.5 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Nicole Alexander, PA-C's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
59 ≥ 5th percentile 5% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Nicole Alexander, PA-C sits
This provider among physician assistant peers
Across the 26,497 physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Nicole Alexander, PA-C writes more Part D claims than 79% of them and scores higher on MIPS quality than 3% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one physician assistant peer from a representative sample of 60; the gold marker is Nicole Alexander, PA-C. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Nicole Alexander, PA-C?
Below national averagePrimary specialty
Physician Assistant
Medicare Part D claims
831 0% vs specialty avg
MIPS final score
58.5/100 25 pts vs avg
Specialty distribution in Wyoming
How Physician Assistant compares to other specialties among Wyoming providers
Medicare quality performance, MIPS
Nicole Alexander, PA-C's 2023 MIPS final score plotted against the Physician Assistant national average
- MIPS Final Score
- 58.5/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
Provider Details
| NPI | 1831439108 |
|---|---|
| Specialty | Physician Assistant |
| Credentials | PA-C |
| Gender | Female |
| NPI Issued | 02/25/2013 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
58.5048
Final Score
Measured-score avg: 83.5
47.7793
Quality
57.4204
Cost
Reporting: Group practice
Hospital and facility affiliations
Facilities where Nicole Alexander, PA-C 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.
Grand Ave Family Medicine
Laramie, WY
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
831
Total Claims
$93K
Total Drug Cost
151
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,003.1
- Total Day Supply
- 59,470
- Generic Drug Cost
- $12K
Patient Demographics
- Average Patient Age
- 70.8 years
- Avg HCC Risk Score
- 0.91
- Gender Split
- 75% female / 25% male
- Age Distribution
- <65: 22, 65-74: 73, 75-84: 45, 85+: 11
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Nicole Alexander, PA-C prescribes most
Top Medicare Part D drugs by claim count, 2024
- Atorvastatin Calcium
Atorvastatin Calcium
81 claims
- Levothyroxine Sodium
Levothyroxine Sodium
64 claims
- Lisinopril
Lisinopril
38 claims
- Amlodipine Besylate 31
Amlodipine Besylate
31 claims
- Rosuvastatin Calcium 29
Rosuvastatin Calcium
29 claims
- Metformin Hcl 25
Metformin Hcl
25 claims
- Metoprolol Succinate 23
Metoprolol Succinate
23 claims
- Omeprazole 22
Omeprazole
22 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 81 |
| Levothyroxine Sodium | 64 |
| Lisinopril | 38 |
| Amlodipine Besylate | 31 |
| Rosuvastatin Calcium | 29 |
| Metformin Hcl | 25 |
| Metoprolol Succinate | 23 |
| Omeprazole | 22 |
| Hydrochlorothiazide | 21 |
| Gabapentin | 20 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Physician Assistant Overview
How Nicole Alexander, PA-C fits within the Physician Assistant landscape nationally.
156,084
Physician Assistant Providers in US
56
States with Physician Assistant
832
Avg Claims per Provider
Nicole Alexander, PA-C's 831 claims are below the specialty average of 832.
Nationwide Physician Assistant peers with similar MIPS or enrollment year
Two federal-record peer sets for Alexander, both outside Wyoming so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (58.5 here).
Same NPPES enumeration year (2013)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Physician Assistant Providers in Wyoming
Other clinicians with the same primary specialty enrolled in Wyoming, drawn from the same CMS NPPES roster as Alexander.
One of 250 Physician Assistant providers enrolled in Wyoming, 5 are shown here.
Thomas Ahern
PA-C
Cody, WY
Valerie Amstadt
PAC
Gillette, WY
Eric Anderson
PA-C
Afton, WY
Lauren Andrews
PA-C
Cheyenne, WY
Brett Argeris
PAC
Worland, WY
Compare Physician Assistant nationally: see state-by-state distribution →
Frequently Asked Questions
What is Nicole Alexander, PA-C's specialty? ▼
Nicole Alexander, PA-C specializes in Physician Assistant and practices in Laramie, Wyoming. Credentials: PA-C.
How much does Nicole Alexander, PA-C prescribe under Medicare Part D? ▼
In 2024, Nicole Alexander, PA-C wrote 831 Medicare Part D claims totaling $93K in drug costs for 151 beneficiaries.
What is Nicole Alexander, PA-C's Medicare quality score? ▼
Nicole Alexander, PA-C has a CMS MIPS Final Score of 58.5/100 (Quality: 47.8, Cost: 57.4). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Nicole Alexander, PA-C located? ▼
Nicole Alexander, PA-C is located at 3236 E GRAND AVE STE I, Laramie, WY, 82070. Phone: (307) 760-8602.
What is Nicole Alexander, PA-C's NPI number? ▼
Nicole Alexander, PA-C's National Provider Identifier (NPI) is 1831439108, issued on 02/25/2013.
How many Physician Assistant providers are there in the US? ▼
There are 156,084 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 832 Medicare Part D claims per year.
What drugs does Nicole Alexander, PA-C prescribe most often? ▼
Based on 2024 Medicare Part D data, Nicole Alexander, PA-C's most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Nicole Alexander, PA-C accept Medicare? ▼
Nicole Alexander, PA-C appears in CMS Medicare data with 831 Part D claims and 151 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Nicole Alexander, PA-C's credentials? ▼
Nicole Alexander, PA-C's NPI is 1831439108 with credentials PA-C. 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 (2024). 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 August 2026 (NPPES) / 2024 (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
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 August 2026.