2026 NPPES data Inpatient Obstetric Registered Nurse NPI 1043545437 RN, CNM
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NIESSA MEIER, RN, CNM

Inpatient Obstetric Registered Nurse in KERRVILLE, 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
207
Medicare Part D claims · 52 beneficiaries · Inpatient Obstetric Registered Nurse avg: 705
Generic prescribing
77%
generic claims · 23% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$45.49
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

NIESSA MEIER, RN, CNM filed 207 Medicare Part D claims in 2023 as a Inpatient Obstetric Registered Nurse in KERRVILLE, Texas, prescribing 77% generic.

207
Part D claims, 2023
77%
generic prescribing
$45.49
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.

NIESSA MEIER, RN, CNM's Medicare Part D volume vs every U.S. prescriber

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

207 49th percentile higher than 49% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 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 NIESSA MEIER, RN, CNM?

Quality data not reported

NPI registry status

Active

Issued 10/02/2009

NPI 1043545437

Primary specialty

Inpatient Obstetric Registered Nurse

Niche

566 US NPIs in this specialty

Medicare Part D claims

207 71% vs specialty avg

2023 prescription claims

Specialty avg: 705

Specialty distribution in Texas

How Inpatient Obstetric Registered Nurse compares to other specialties among Texas providers

Texas providers

Inpatient Obstetric Registered Nurse share within Texas

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

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Inpatient Obstetric 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).

NIESSA MEIER, RN, CNM appears in the CMS NPPES registry as a Inpatient Obstetric Registered Nurse provider holding RN, CNM credentials at 575 HILL COUNTRY DR, KERRVILLE, TX, 78028, with a listed phone of (830) 258-6237. NPI 1043545437 was issued on 10/02/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MEIER 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 207 prescription claims written by this provider, covering 52 Medicare beneficiaries and totaling roughly $15K in drug spend, split 23% brand-name and 77% 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.

Inpatient Obstetric Registered Nurse is a narrow specialty nationwide, with 566 enrolled providers across 52 states and an average of 705 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

575 HILL COUNTRY DR
KERRVILLE, TX 78028

Provider Details

NPI 1043545437
Specialty Inpatient Obstetric Registered Nurse
Credentials RN, CNM
Gender Female
NPI Issued 10/02/2009

Hospital and facility affiliations

Facilities where NIESSA MEIER, RN, CNM 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.

KERR COUNTY OB/GYN ASSOCIATES, P.A.
KERRVILLE, 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 NIESSA MEIER, RN, CNM. Source: openpaymentsdata.cms.gov.

Total received

$45

Largest payer

Currax Pharmaceuticals LLC

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 NIESSA MEIER, RN, CNM. To verify NIESSA MEIER, RN, CNM'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

NIESSA MEIER, RN, CNM — brand share 23.0%
Specialty average (est.)

23% brand-name claims vs 77% generic, on 207 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.

207
Total Claims
$15K
Total Drug Cost
52
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
381
Total Day Supply
11,054
Brand vs Generic
23% brand / 77% generic
Brand Drug Cost
$8K
Generic Drug Cost
$7K
Antibiotic Claims
24

Patient Demographics

Average Patient Age
69.5 years
Avg HCC Risk Score
0.90
Gender Split
100% female / 0% male

Top Prescribed Drugs (Medicare Part D)

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

What NIESSA MEIER, RN, CNM 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
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
18
Estradiol (Twice Weekly)
Estradiol
16
Sertraline Hcl
15
Estradiol
14
Imvexxy
Estradiol
12
Progesterone
"Progesterone
N/A

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

Inpatient Obstetric Registered Nurse Overview

How NIESSA MEIER, RN, CNM fits within the Inpatient Obstetric Registered Nurse landscape nationally.

566
Inpatient Obstetric Registered Nurse Providers in US
52
States with Inpatient Obstetric Registered Nurse
705
Avg Claims per Provider

NIESSA MEIER, RN, CNM's 207 claims are below the specialty average of 705.

Nearby Inpatient Obstetric Registered Nurse Providers in Texas

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

Compare Inpatient Obstetric Registered Nurse nationally: see state-by-state distribution →

Frequently Asked Questions

What is NIESSA MEIER, RN, CNM's specialty?
NIESSA MEIER, RN, CNM specializes in Inpatient Obstetric Registered Nurse and practices in KERRVILLE, Texas. Credentials: RN, CNM.
How much does NIESSA MEIER, RN, CNM prescribe under Medicare Part D?
In 2023, NIESSA MEIER, RN, CNM wrote 207 Medicare Part D claims totaling $15K in drug costs for 52 beneficiaries.
Where is NIESSA MEIER, RN, CNM located?
NIESSA MEIER, RN, CNM is located at 575 HILL COUNTRY DR, KERRVILLE, TX, 78028. Phone: (830) 258-6237.
What is NIESSA MEIER, RN, CNM's NPI number?
NIESSA MEIER, RN, CNM's National Provider Identifier (NPI) is 1043545437, issued on 10/02/2009.
Does NIESSA MEIER, RN, CNM prescribe more brand-name or generic drugs?
NIESSA MEIER, RN, CNM's prescribing is 23% brand-name and 77% generic drugs by claim count, with $8K in brand drug costs.
How many Inpatient Obstetric Registered Nurse providers are there in the US?
There are 566 Inpatient Obstetric Registered Nurse providers across 52 states in the US. The average Inpatient Obstetric Registered Nurse provider writes 705 Medicare Part D claims per year.
What drugs does NIESSA MEIER, RN, CNM prescribe most often?
Based on 2023 Medicare Part D data, NIESSA MEIER, RN, CNM's most frequently prescribed drugs include Nitrofurantoin Mono-Macro, Estradiol (Twice Weekly), Sertraline Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NIESSA MEIER, RN, CNM accept Medicare?
NIESSA MEIER, RN, CNM appears in CMS Medicare data with 207 Part D claims and 52 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NIESSA MEIER, RN, CNM's credentials?
NIESSA MEIER, RN, CNM's NPI is 1043545437 with credentials RN, CNM. 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