2026 NPPES data Adult Health Clinical Nurse Specialist NPI 1932649936 CNS, APRN
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NICOLE TREVINO, CNS, APRN

Adult Health Clinical Nurse Specialist 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
422
Medicare Part D claims · 100 beneficiaries · Adult Health Clinical Nurse Specialist avg: 1K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$443.78
24 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

NICOLE TREVINO, CNS, APRN filed 422 Medicare Part D claims in 2023 as a Adult Health Clinical Nurse Specialist in SAN ANTONIO, Texas, prescribing 91% generic.

422
Part D claims, 2023
91%
generic prescribing
$443.78
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 TREVINO, CNS, APRN's Medicare Part D volume vs every U.S. prescriber

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

422 Top 38% higher than 62% 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%). This entry sits in this band. 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 TREVINO, CNS, APRN?

Quality data not reported

NPI registry status

Active

Issued 02/24/2017

NPI 1932649936

Primary specialty

Adult Health Clinical Nurse Specialist

Niche

1,375 US NPIs in this specialty

Medicare Part D claims

422 61% vs specialty avg

2023 prescription claims

Specialty avg: 1,088

Specialty distribution in Texas

How Adult Health Clinical Nurse Specialist compares to other specialties among Texas providers

Texas providers

Adult Health Clinical Nurse Specialist share within Texas

1. Adult Health Clinical Nurse Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Health Clinical Nurse Specialist share within Texas

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Adult Health Clinical Nurse Specialist) — 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 TREVINO, CNS, APRN appears in the CMS NPPES registry as a Adult Health Clinical Nurse Specialist provider holding CNS, APRN credentials at 903 W MARTIN ST, SAN ANTONIO, TX, 78207, with a listed phone of (210) 358-3555. NPI 1932649936 was issued on 02/24/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what TREVINO 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 422 prescription claims written by this provider, covering 100 Medicare beneficiaries and totaling roughly $33K in drug spend, split 9% brand-name and 91% 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 Clinical Nurse Specialist is a narrow specialty nationwide, with 1,375 enrolled providers across 49 states and an average of 1,088 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

903 W MARTIN ST
SAN ANTONIO, TX 78207

Provider Details

NPI 1932649936
Specialty Adult Health Clinical Nurse Specialist
Credentials CNS, APRN
Gender Female
NPI Issued 02/24/2017

Hospital and facility affiliations

Facilities where NICOLE TREVINO, CNS, APRN 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.

BHS PHYSICIANS NETWORK, INC
SAN ANTONIO, TX

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 NICOLE TREVINO, CNS, APRN. Source: openpaymentsdata.cms.gov.

Total received

$444

Largest payer

Novartis Pharmaceuticals Corporation

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 TREVINO, CNS, APRN. To verify NICOLE TREVINO, CNS, APRN'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 · Generic-heavy

NICOLE TREVINO, CNS, APRN — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 422 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.

422
Total Claims
$33K
Total Drug Cost
100
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
721
Total Day Supply
21,126
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$27K
Generic Drug Cost
$6K

Patient Demographics

Average Patient Age
72.9 years
Avg HCC Risk Score
2.51
Gender Split
53% female / 47% male
Age Distribution
<65: 13, 65-74: 40, 75-84: 36, 85+: 11

Top Prescribed Drugs (Medicare Part D)

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

What NICOLE TREVINO, CNS, APRN 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
Clopidogrel
Clopidogrel Bisulfate
85
Atorvastatin Calcium
38
Metoprolol Succinate
36
Spironolactone
26
Carvedilol
23
Lisinopril
20
Amlodipine Besylate
18
Metoprolol Tartrate
16
Losartan Potassium
15
Eliquis
Apixaban
14

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

Adult Health Clinical Nurse Specialist Overview

How NICOLE TREVINO, CNS, APRN fits within the Adult Health Clinical Nurse Specialist landscape nationally.

1,375
Adult Health Clinical Nurse Specialist Providers in US
49
States with Adult Health Clinical Nurse Specialist
1,088
Avg Claims per Provider

NICOLE TREVINO, CNS, APRN's 422 claims are below the specialty average of 1,088.

Nearby Adult Health Clinical Nurse Specialist Providers in Texas

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

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

Frequently Asked Questions

What is NICOLE TREVINO, CNS, APRN's specialty?
NICOLE TREVINO, CNS, APRN specializes in Adult Health Clinical Nurse Specialist and practices in SAN ANTONIO, Texas. Credentials: CNS, APRN.
How much does NICOLE TREVINO, CNS, APRN prescribe under Medicare Part D?
In 2023, NICOLE TREVINO, CNS, APRN wrote 422 Medicare Part D claims totaling $33K in drug costs for 100 beneficiaries.
Where is NICOLE TREVINO, CNS, APRN located?
NICOLE TREVINO, CNS, APRN is located at 903 W MARTIN ST, SAN ANTONIO, TX, 78207. Phone: (210) 358-3555.
What is NICOLE TREVINO, CNS, APRN's NPI number?
NICOLE TREVINO, CNS, APRN's National Provider Identifier (NPI) is 1932649936, issued on 02/24/2017.
Does NICOLE TREVINO, CNS, APRN prescribe more brand-name or generic drugs?
NICOLE TREVINO, CNS, APRN's prescribing is 9% brand-name and 91% generic drugs by claim count, with $27K in brand drug costs.
How many Adult Health Clinical Nurse Specialist providers are there in the US?
There are 1,375 Adult Health Clinical Nurse Specialist providers across 49 states in the US. The average Adult Health Clinical Nurse Specialist provider writes 1,088 Medicare Part D claims per year.
What drugs does NICOLE TREVINO, CNS, APRN prescribe most often?
Based on 2023 Medicare Part D data, NICOLE TREVINO, CNS, APRN's most frequently prescribed drugs include Clopidogrel, Atorvastatin Calcium, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NICOLE TREVINO, CNS, APRN accept Medicare?
NICOLE TREVINO, CNS, APRN appears in CMS Medicare data with 422 Part D claims and 100 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NICOLE TREVINO, CNS, APRN's credentials?
NICOLE TREVINO, CNS, APRN's NPI is 1932649936 with credentials CNS, APRN. 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