2026 NPPES data Pediatric Registered Nurse NPI 1851995054 NURSE PRACTITIONER
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NICOLE ESPURVOA, NURSE PRACTITIONER

Pediatric Registered Nurse in SAN ANTONIO, Texas. 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
3K
Medicare Part D claims · 331 beneficiaries · Pediatric Registered Nurse avg: 748
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$43.38
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

NICOLE ESPURVOA, NURSE PRACTITIONER filed 2,505 Medicare Part D claims in 2023 as a Pediatric Registered Nurse in SAN ANTONIO, Texas, prescribing 86% generic.

3K
Part D claims, 2023
86%
generic prescribing
$43.38
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.

NICOLE ESPURVOA, NURSE PRACTITIONER's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

2,505 Top 13% higher than 87% 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%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. 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 NICOLE ESPURVOA, NURSE PRACTITIONER?

Quality data not reported

NPI registry status

Active

Issued 11/28/2020

NPI 1851995054

Primary specialty

Pediatric Registered Nurse

Niche

2,899 US NPIs in this specialty

Medicare Part D claims

2,505 235% vs specialty avg

2023 prescription claims

Specialty avg: 748

Specialty distribution in Texas

How Pediatric Registered Nurse compares to other specialties among Texas providers

Texas providers

Pediatric Registered Nurse share within Texas

1. Pediatric Registered Nurse42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Registered Nurse share within Texas

Specialty board-certification context

Estimated specialty board-certified rate — Pediatric Registered Nurse (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatric Registered Nurse ABMS/AOA estimate

Est. board-certified rate (Pediatric Registered Nurse) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatric Registered Nurse) — 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).

NICOLE ESPURVOA, NURSE PRACTITIONER is a Pediatric Registered Nurse provider practicing in SAN ANTONIO, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: NURSE PRACTITIONER. NPI: 1851995054. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

NICOLE ESPURVOA, NURSE PRACTITIONER appears in the CMS NPPES registry as a Pediatric Registered Nurse provider holding NURSE PRACTITIONER credentials at 4751 HAMILTON WOLFE RD STE 200, SAN ANTONIO, TX, 78229, with a listed phone of (210) 233-7126. NPI 1851995054 was issued on 11/28/2020. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ESPURVOA 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 2,505 prescription claims written by this provider, covering 331 Medicare beneficiaries and totaling roughly $394K in drug spend, split 14% brand-name and 86% 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.

Pediatric Registered Nurse is a narrow specialty nationwide, with 2,899 enrolled providers across 52 states and an average of 748 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

4751 HAMILTON WOLFE RD STE 200
SAN ANTONIO, TX 78229

Provider Details

NPI 1851995054
Specialty Pediatric Registered Nurse
Credentials NURSE PRACTITIONER
Gender Female
NPI Issued 11/28/2020

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 ESPURVOA, NURSE PRACTITIONER. Source: openpaymentsdata.cms.gov.

Total received

$43

Largest payer

SI-BONE, 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.

License & disciplinary context — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to NICOLE ESPURVOA, NURSE PRACTITIONER. To verify NICOLE ESPURVOA, NURSE PRACTITIONER's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

NICOLE ESPURVOA, NURSE PRACTITIONER — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 2,505 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.

2,505
Total Claims
$394K
Total Drug Cost
331
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,299
Total Day Supply
185,869
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$366K
Generic Drug Cost
$25K
Antibiotic Claims
28

Patient Demographics

Average Patient Age
73.1 years
Avg HCC Risk Score
1.73
Gender Split
64% female / 36% male
Age Distribution
<65: 39, 65-74: 150, 75-84: 106, 85+: 36

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Atorvastatin Calcium
197
Rosuvastatin Calcium
141
Metformin Hcl
137
Lisinopril
121
Losartan Potassium
89
Amlodipine Besylate
87
Gabapentin
83
Hydrochlorothiazide
79
Levothyroxine Sodium
69
Jardiance
Empagliflozin
50

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Pediatric Registered Nurse Overview

How NICOLE ESPURVOA, NURSE PRACTITIONER fits within the Pediatric Registered Nurse landscape nationally.

2,899
Pediatric Registered Nurse Providers in US
52
States with Pediatric Registered Nurse
748
Avg Claims per Provider

NICOLE ESPURVOA, NURSE PRACTITIONER's 2,505 claims are above the specialty average of 748.

Nearby Pediatric Registered Nurse Providers in Texas

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

Compare Pediatric Registered Nurse nationally: see state-by-state distribution →

Frequently Asked Questions

What is NICOLE ESPURVOA, NURSE PRACTITIONER's specialty?
NICOLE ESPURVOA, NURSE PRACTITIONER specializes in Pediatric Registered Nurse and practices in SAN ANTONIO, Texas. Credentials: NURSE PRACTITIONER.
How much does NICOLE ESPURVOA, NURSE PRACTITIONER prescribe under Medicare Part D?
In 2023, NICOLE ESPURVOA, NURSE PRACTITIONER wrote 2,505 Medicare Part D claims totaling $394K in drug costs for 331 beneficiaries.
Where is NICOLE ESPURVOA, NURSE PRACTITIONER located?
NICOLE ESPURVOA, NURSE PRACTITIONER is located at 4751 HAMILTON WOLFE RD STE 200, SAN ANTONIO, TX, 78229. Phone: (210) 233-7126.
What is NICOLE ESPURVOA, NURSE PRACTITIONER's NPI number?
NICOLE ESPURVOA, NURSE PRACTITIONER's National Provider Identifier (NPI) is 1851995054, issued on 11/28/2020.
Does NICOLE ESPURVOA, NURSE PRACTITIONER prescribe more brand-name or generic drugs?
NICOLE ESPURVOA, NURSE PRACTITIONER's prescribing is 14% brand-name and 86% generic drugs by claim count, with $366K in brand drug costs.
How many Pediatric Registered Nurse providers are there in the US?
There are 2,899 Pediatric Registered Nurse providers across 52 states in the US. The average Pediatric Registered Nurse provider writes 748 Medicare Part D claims per year.
What drugs does NICOLE ESPURVOA, NURSE PRACTITIONER prescribe most often?
Based on 2023 Medicare Part D data, NICOLE ESPURVOA, NURSE PRACTITIONER's most frequently prescribed drugs include Atorvastatin Calcium, Rosuvastatin Calcium, Metformin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NICOLE ESPURVOA, NURSE PRACTITIONER accept Medicare?
NICOLE ESPURVOA, NURSE PRACTITIONER appears in CMS Medicare data with 2,505 Part D claims and 331 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NICOLE ESPURVOA, NURSE PRACTITIONER's credentials?
NICOLE ESPURVOA, NURSE PRACTITIONER's NPI is 1851995054 with credentials NURSE PRACTITIONER. 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