NPI registry status
Active
2026 NPPES data Primary Care Nurse Practitioner NPI 1043790785 FNP-C
Verify on CMS → Patricia Heirtzler, FNP-C
Primary Care Nurse Practitioner in Kirbyville, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 10,179 in Primary 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
406
Medicare Part D claims · 123 beneficiaries · Primary Care Nurse Practitioner avg: 1K
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
68/100
▼ 15 pts below national avg 83.1 · Mid-tier
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Patricia Heirtzler, FNP-C reported a CMS MIPS final score of 68/100 - below the 83.1 national average - and filed 406 Medicare Part D claims in 2023.
- 68/100
- MIPS score · -15 vs avg
- 406
- Part D claims, 2023
- 93%
- generic prescribing
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.
Patricia Heirtzler, FNP-C's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
68 7th percentile higher than 7% of 477,587 scored providers
Each bar is a band; taller bars hold more scored 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.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Patricia Heirtzler, FNP-C sits
This provider among primary care nurse practitioner peers
Across the 958 primary care nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Patricia Heirtzler, FNP-C writes more Part D claims than 39% of them and scores higher on MIPS quality than 9% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one primary care nurse practitioner peer from a representative sample of 60; the gold marker is Patricia Heirtzler, FNP-C. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Patricia Heirtzler, FNP-C?
Below national averagePrimary specialty
Primary Care Nurse Practitioner
Medicare Part D claims
406 70% vs specialty avg
MIPS final score
68/100 15.1 pts vs avg
Specialty distribution in Texas
How Primary Care Nurse Practitioner compares to other specialties among Texas providers
Medicare quality performance, MIPS
Patricia Heirtzler, FNP-C's 2023 MIPS final score plotted against the Primary Care Nurse Practitioner national average
- MIPS Final Score
- 68/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Primary Care Nurse Practitioner) - 68/100 vs national avg 83.1
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).
Patricia Heirtzler, FNP-C appears in the CMS NPPES registry as a Primary Care Nurse Practitioner provider holding FNP-C credentials at 1905 N MARGARET AVE, Kirbyville, TX, 75956, with a listed phone of (409) 420-0816. NPI 1043790785 was issued on 08/21/2018.
Medicare Part D records for calendar year 2023 show 406 prescription claims written by this provider, covering 123 Medicare beneficiaries and totaling roughly $17K in drug spend, split 7% brand-name and 93% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 68/100 for the 2023 performance year (Quality 53.1, Cost 44.5), compared with the national average of 83.1.
Primary Care Nurse Practitioner is a mid-sized specialty nationwide, with 10,179 enrolled providers across 54 states and an average of 1,363 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
Provider Details
| NPI | 1043790785 |
|---|---|
| Specialty | Primary Care Nurse Practitioner |
| Credentials | FNP-C |
| Gender | Female |
| NPI Issued | 08/21/2018 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
67.9676
Final Score
Avg: 83.1
53.1453
Quality
44.5073
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Patricia Heirtzler, FNP-C 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.
Sour Lake Health And Medical, PLLC
Sour Lake, 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).
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 Patricia Heirtzler, FNP-C. To verify Patricia Heirtzler, FNP-C'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
Patricia Heirtzler, FNP-C - brand share 7.0%
Primary Care Nurse Practitioner average
7% brand-name claims vs 93% generic, on 406 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.
406
Total Claims
$17K
Total Drug Cost
123
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 821
- Total Day Supply
- 23,755
- Brand vs Generic
- 7% brand / 93% generic
- Brand Drug Cost
- $11K
- Generic Drug Cost
- $6K
- Antibiotic Claims
- 18
Patient Demographics
- Average Patient Age
- 71.3 years
- Avg HCC Risk Score
- 3.55
- Gender Split
- 60% female / 40% male
- Age Distribution
- <65: 23, 65-74: 46, 75-84: 40, 85+: 14
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Patricia Heirtzler, FNP-C prescribes most
Top Medicare Part D drugs by claim count, 2023
- Allopurinol
Allopurinol
95 claims
- Amlodipine Besylate
Amlodipine Besylate
42 claims
- Furosemide
Furosemide
42 claims
- Hydralazine Hcl 21
Hydralazine Hcl
21 claims
- Potassium Chloride 19
Potassium Chloride
19 claims
- Losartan Potassium 17
Losartan Potassium
17 claims
- Nifedipine Er 12
Nifedipine Er
12 claims
- Sertraline Hcl 11
Sertraline Hcl
11 claims
| Drug | Claims |
|---|---|
| Allopurinol | 95 |
| Amlodipine Besylate | 42 |
| Furosemide | 42 |
| Hydralazine Hcl | 21 |
| Potassium Chloride | 19 |
| Losartan Potassium | 17 |
| Nifedipine Er Nifedipine | 12 |
| Sertraline Hcl | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Primary Care Nurse Practitioner Overview
How Patricia Heirtzler, FNP-C fits within the Primary Care Nurse Practitioner landscape nationally.
10,179
Primary Care Nurse Practitioner Providers in US
54
States with Primary Care Nurse Practitioner
1,363
Avg Claims per Provider
Patricia Heirtzler, FNP-C's 406 claims are below the specialty average of 1,363.
Nearby Primary Care Nurse Practitioner Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Heirtzler.
Bethzaida Abdal
Dallas, TX
Sosina Abebu
Richardson, TX
Betty Aburime
Irving, TX
Dr. Martha Acevedo
APRN
Houston, TX
Dr. Vitalina Adamchevska
APRN
Rockwall, TX
Compare Primary Care Nurse Practitioner nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Texas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Primary Care Nurse Practitioner peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Patricia Heirtzler, FNP-C's specialty? ▼
Patricia Heirtzler, FNP-C specializes in Primary Care Nurse Practitioner and practices in Kirbyville, Texas. Credentials: FNP-C.
How much does Patricia Heirtzler, FNP-C prescribe under Medicare Part D? ▼
In 2023, Patricia Heirtzler, FNP-C wrote 406 Medicare Part D claims totaling $17K in drug costs for 123 beneficiaries.
What is Patricia Heirtzler, FNP-C's Medicare quality score? ▼
Patricia Heirtzler, FNP-C has a CMS MIPS Final Score of 68/100 (Quality: 53.1, Cost: 44.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Patricia Heirtzler, FNP-C located? ▼
Patricia Heirtzler, FNP-C is located at 1905 N MARGARET AVE, Kirbyville, TX, 75956. Phone: (409) 420-0816.
What is Patricia Heirtzler, FNP-C's NPI number? ▼
Patricia Heirtzler, FNP-C's National Provider Identifier (NPI) is 1043790785, issued on 08/21/2018.
Does Patricia Heirtzler, FNP-C prescribe more brand-name or generic drugs? ▼
Patricia Heirtzler, FNP-C's prescribing is 7% brand-name and 93% generic drugs by claim count, with $11K in brand drug costs.
How many Primary Care Nurse Practitioner providers are there in the US? ▼
There are 10,179 Primary Care Nurse Practitioner providers across 54 states in the US. The average Primary Care Nurse Practitioner provider writes 1,363 Medicare Part D claims per year.
What drugs does Patricia Heirtzler, FNP-C prescribe most often? ▼
Based on 2023 Medicare Part D data, Patricia Heirtzler, FNP-C's most frequently prescribed drugs include Allopurinol, Amlodipine Besylate, Furosemide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Patricia Heirtzler, FNP-C accept Medicare? ▼
Patricia Heirtzler, FNP-C appears in CMS Medicare data with 406 Part D claims and 123 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Patricia Heirtzler, FNP-C's credentials? ▼
Patricia Heirtzler, FNP-C's NPI is 1043790785 with credentials FNP-C. 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 (2023). 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 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
Compiled from official public sources by the PlainDoctor editorial team.
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 May 2026.