NPI registry status
Active
2026 NPPES data Acute Care Nurse Practitioner NPI 1992479679 ARNP
Verify on CMS → Nicole Alsaker, ARNP
Acute Care Nurse Practitioner in Washington, Iowa.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 25,345 in Acute Care Nurse Practitioner, 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
7K
Medicare Part D claims · 663 beneficiaries · Acute Care Nurse Practitioner avg: 623
Generic prescribing
58%
generic claims · 42% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
7.5/100
▼ 76 pts below national avg 83.5 · Penalty band
Industry payments
$205.54
9 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Nicole Alsaker, ARNP reported a CMS MIPS final score of 7.5/100 - below the 83.5 national average - and filed 6,921 Medicare Part D claims in 2024.
- 7.5/100
- MIPS score · -76 vs avg
- 7K
- Part D claims, 2024
- 58%
- generic prescribing
- $205.54
- 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.
Federal trust snapshot
What official records show about Nicole Alsaker, ARNP
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 1992479679), first enumerated 08/05/2021.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 6,921 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 7.5/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Industry payment transparency
$205.54 in reported industry payments (9 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- 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 1992479679 · Acute Care Nurse Practitioner
NPI-10 · ENUM-RECENT · TAX-MID · MIPS-LOW · RX-MID · BOOK-THIN · PHOTO-FINISH
- NPI-10 1992479679
- ENUM-RECENT 2021
- TAX-MID 25K Acute Care
- MIPS-LOW 7.5/100
- RX-MID 6,921
- BOOK-THIN 172 in Iowa
- PHOTO-FINISH Justina George, APRN · ±0.6
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Gerald Brown, AP… 0
Gerald Brown, APRN
0 MIPS pts
- Jill Graf, MS, A…
Jill Graf, MS, ACNP-BC, CCNS
6.3 MIPS pts
- Justina George, …
Justina George, APRN
6.9 MIPS pts
- Alsaker · this p…
Alsaker · this provider
7.5 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Nicole Alsaker, ARNP'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.
8 ≥ 2nd percentile 2% 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 Alsaker, ARNP sits
This provider among acute care nurse practitioner peers
Across the 3,830 acute care nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Nicole Alsaker, ARNP writes more Part D claims than 99% of them and scores higher on MIPS quality than 0% - 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 acute care nurse practitioner peer from a representative sample of 60; the gold marker is Nicole Alsaker, ARNP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Nicole Alsaker, ARNP?
Below national averagePrimary specialty
Acute Care Nurse Practitioner
Medicare Part D claims
6,921 11× vs specialty avg
MIPS final score
7.5/100 76 pts vs avg
Specialty distribution in Iowa
How Acute Care Nurse Practitioner compares to other specialties among Iowa providers
Medicare quality performance, MIPS
Nicole Alsaker, ARNP's 2023 MIPS final score plotted against the Acute Care Nurse Practitioner national average
- MIPS Final Score
- 7.5/100
- 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 | 1992479679 |
|---|---|
| Specialty | Acute Care Nurse Practitioner |
| Credentials | ARNP |
| Gender | Female |
| NPI Issued | 08/05/2021 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
7.5
Final Score
Measured-score avg: 83.5
0
Quality
Reporting: Group practice
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 Nicole Alsaker, ARNP. Source: openpaymentsdata.cms.gov.
Total received
$206
Largest payer
Regeneron Healthcare Solutions, Inc.
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.
Brand vs generic prescribing mix · Above average
Nicole Alsaker, ARNP - brand share 42.0%
Acute Care Nurse Practitioner average
42% brand-name claims vs 58% generic, on 6,921 2024 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 2024.
6,921
Total Claims
$2.1M
Total Drug Cost
663
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 9,669.467
- Total Day Supply
- 271,000
- Brand vs Generic
- 42% brand / 58% generic
- Brand Drug Cost
- $2.0M
- Generic Drug Cost
- $73K
- Antibiotic Claims
- 719
Patient Demographics
- Average Patient Age
- 74.1 years
- Avg HCC Risk Score
- 1.55
- Gender Split
- 55% female / 45% male
- Age Distribution
- <65: 53, 65-74: 291, 75-84: 237, 85+: 82
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Nicole Alsaker, ARNP prescribes most
Top Medicare Part D drugs by claim count, 2024
- Trelegy Ellipta
Trelegy Ellipta
1,229 claims
- Montelukast Sodium
Montelukast Sodium
878 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
763 claims
- Azithromycin
Azithromycin
582 claims
- Famotidine 390
Famotidine
390 claims
- Pantoprazole Sodium 327
Pantoprazole Sodium
327 claims
- Prednisone 296
Prednisone
296 claims
- Breo Ellipta 210
Breo Ellipta
210 claims
| Drug | Claims |
|---|---|
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 1,229 |
| Montelukast Sodium | 878 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 763 |
| Azithromycin | 582 |
| Famotidine | 390 |
| Pantoprazole Sodium | 327 |
| Prednisone | 296 |
| Breo Ellipta Fluticasone/Vilanterol | 210 |
| Breztri Aerosphere Budesonide/Glycopyr/Formoterol | 173 |
| Roflumilast | 158 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Acute Care Nurse Practitioner Overview
How Nicole Alsaker, ARNP fits within the Acute Care Nurse Practitioner landscape nationally.
25,345
Acute Care Nurse Practitioner Providers in US
53
States with Acute Care Nurse Practitioner
623
Avg Claims per Provider
Nicole Alsaker, ARNP's 6,921 claims are above the specialty average of 623.
Nationwide Acute Care Nurse Practitioner peers with similar MIPS or enrollment year
Two federal-record peer sets for Alsaker, both outside Iowa so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (7.5 here).
Same NPPES enumeration year (2021)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Acute Care Nurse Practitioner Providers in Iowa
Other clinicians with the same primary specialty enrolled in Iowa, drawn from the same CMS NPPES roster as Alsaker.
One of 172 Acute Care Nurse Practitioner providers enrolled in Iowa, 5 are shown here.
Sugandha Aggarwal
Ankeny, IA
Dr. Amber Anderson
DNP
Johnston, IA
Andrea Archer
N.P.
Davenport, IA
Natalie Aunan
ARNP
Iowa City, IA
Mikaylah Avis
Des Moines, IA
Compare Acute Care Nurse Practitioner nationally: see state-by-state distribution →
Frequently Asked Questions
What is Nicole Alsaker, ARNP's specialty? ▼
Nicole Alsaker, ARNP specializes in Acute Care Nurse Practitioner and practices in Washington, Iowa. Credentials: ARNP.
How much does Nicole Alsaker, ARNP prescribe under Medicare Part D? ▼
In 2024, Nicole Alsaker, ARNP wrote 6,921 Medicare Part D claims totaling $2.1M in drug costs for 663 beneficiaries.
What is Nicole Alsaker, ARNP's Medicare quality score? ▼
Nicole Alsaker, ARNP has a CMS MIPS Final Score of 7.5/100 (Quality: 0). 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 Alsaker, ARNP located? ▼
Nicole Alsaker, ARNP is located at 400 E POLK ST, Washington, IA, 52353. Phone: (319) 863-3936.
What is Nicole Alsaker, ARNP's NPI number? ▼
Nicole Alsaker, ARNP's National Provider Identifier (NPI) is 1992479679, issued on 08/05/2021.
Does Nicole Alsaker, ARNP prescribe more brand-name or generic drugs? ▼
Nicole Alsaker, ARNP's prescribing is 42% brand-name and 58% generic drugs by claim count, with $2.0M in brand drug costs.
How many Acute Care Nurse Practitioner providers are there in the US? ▼
There are 25,345 Acute Care Nurse Practitioner providers across 53 states in the US. The average Acute Care Nurse Practitioner provider writes 623 Medicare Part D claims per year.
What drugs does Nicole Alsaker, ARNP prescribe most often? ▼
Based on 2024 Medicare Part D data, Nicole Alsaker, ARNP's most frequently prescribed drugs include Trelegy Ellipta, Montelukast Sodium, Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Nicole Alsaker, ARNP accept Medicare? ▼
Nicole Alsaker, ARNP appears in CMS Medicare data with 6,921 Part D claims and 663 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Nicole Alsaker, ARNP's credentials? ▼
Nicole Alsaker, ARNP's NPI is 1992479679 with credentials ARNP. 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.