2026 NPPES data Adult Health Nurse Practitioner NPI 1598233157
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NICOLE LARVA

Adult Health Nurse Practitioner in DAYTON, Ohio. 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
173
Medicare Part D claims · 57 beneficiaries · Adult Health Nurse Practitioner avg: 1K
Generic prescribing
37%
generic claims · 63% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$86.22
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

NICOLE LARVA filed 173 Medicare Part D claims in 2023 as a Adult Health Nurse Practitioner in DAYTON, Ohio, prescribing 37% generic.

173
Part D claims, 2023
37%
generic prescribing
$86.22
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 LARVA's Medicare Part D volume vs every U.S. prescriber

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

173 35th percentile higher than 35% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 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 NICOLE LARVA?

Quality data not reported

NPI registry status

Active

Issued 11/12/2018

NPI 1598233157

Primary specialty

Adult Health Nurse Practitioner

Mid-sized

29,492 US NPIs in this specialty

Medicare Part D claims

173 86% vs specialty avg

2023 prescription claims

Specialty avg: 1,201

Specialty distribution in Ohio

How Adult Health Nurse Practitioner compares to other specialties among Ohio providers

Ohio providers

Adult Health Nurse Practitioner share within Ohio

1. Adult Health Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Health Nurse Practitioner share within Ohio

Specialty board-certification context

Estimated specialty board-certified rate — Adult Health Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Adult Health Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Adult Health Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Adult Health Nurse Practitioner) — 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 LARVA appears in the CMS NPPES registry as a Adult Health Nurse Practitioner provider at 1 WYOMING ST, DAYTON, OH, 45409, with a listed phone of (937) 208-8000. NPI 1598233157 was issued on 11/12/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LARVA 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 173 prescription claims written by this provider, covering 57 Medicare beneficiaries and totaling roughly $61K in drug spend, split 63% brand-name and 37% 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.

Adult Health Nurse Practitioner is a mid-sized specialty nationwide, with 29,492 enrolled providers across 55 states and an average of 1,201 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

1 WYOMING ST
DAYTON, OH 45409

Provider Details

NPI 1598233157
Specialty Adult Health Nurse Practitioner
Gender Female
NPI Issued 11/12/2018

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 LARVA. Source: openpaymentsdata.cms.gov.

Total received

$86

Largest payer

Medtronic, 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 — Ohio OMB 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 ~48K Ohio medical licensees in 2023 — they are NOT specific to NICOLE LARVA. To verify NICOLE LARVA's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB 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 Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

NICOLE LARVA — brand share 63.0%
Specialty average (est.)

63% brand-name claims vs 37% generic, on 173 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.

173
Total Claims
$61K
Total Drug Cost
57
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
305
Total Day Supply
8,932
Brand vs Generic
63% brand / 37% generic
Brand Drug Cost
$60K
Generic Drug Cost
$92

Patient Demographics

Average Patient Age
69.1 years
Avg HCC Risk Score
2.16
Gender Split
47% female / 53% male
Age Distribution
<65: 14, 65-74: 29, 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 NICOLE LARVA 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
Metformin Hcl Er
Metformin Hcl
19
Insulin Lispro Kwikpen U-100
Insulin Lispro
14
Trulicity
Dulaglutide
11
Basaglar Kwikpen U-100
"Insulin Glargine
N/A
Lantus Solostar
"Insulin Glargine
N/A
Ultra-Fine Mini Pen Needle
"Pen Needle
N/A

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

Adult Health Nurse Practitioner Overview

How NICOLE LARVA fits within the Adult Health Nurse Practitioner landscape nationally.

29,492
Adult Health Nurse Practitioner Providers in US
55
States with Adult Health Nurse Practitioner
1,201
Avg Claims per Provider

NICOLE LARVA's 173 claims are below the specialty average of 1,201.

Nearby Adult Health Nurse Practitioner Providers in Ohio

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

Compare Adult Health Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is NICOLE LARVA's specialty?
NICOLE LARVA specializes in Adult Health Nurse Practitioner and practices in DAYTON, Ohio.
How much does NICOLE LARVA prescribe under Medicare Part D?
In 2023, NICOLE LARVA wrote 173 Medicare Part D claims totaling $61K in drug costs for 57 beneficiaries.
Where is NICOLE LARVA located?
NICOLE LARVA is located at 1 WYOMING ST, DAYTON, OH, 45409. Phone: (937) 208-8000.
What is NICOLE LARVA's NPI number?
NICOLE LARVA's National Provider Identifier (NPI) is 1598233157, issued on 11/12/2018.
Does NICOLE LARVA prescribe more brand-name or generic drugs?
NICOLE LARVA's prescribing is 63% brand-name and 37% generic drugs by claim count, with $60K in brand drug costs.
How many Adult Health Nurse Practitioner providers are there in the US?
There are 29,492 Adult Health Nurse Practitioner providers across 55 states in the US. The average Adult Health Nurse Practitioner provider writes 1,201 Medicare Part D claims per year.
What drugs does NICOLE LARVA prescribe most often?
Based on 2023 Medicare Part D data, NICOLE LARVA's most frequently prescribed drugs include Metformin Hcl Er, Insulin Lispro Kwikpen U-100, Trulicity. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NICOLE LARVA accept Medicare?
NICOLE LARVA appears in CMS Medicare data with 173 Part D claims and 57 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NICOLE LARVA's credentials?
NICOLE LARVA's NPI is 1598233157. 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