2026 NPPES data Acute Care Nurse Practitioner NPI 1225464522 AGACNP
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PREEMA JOSEPH, AGACNP

Acute Care Nurse Practitioner in HOUSTON, 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
269
Medicare Part D claims · 80 beneficiaries · Acute Care Nurse Practitioner avg: 576

What the federal data shows

PREEMA JOSEPH, AGACNP filed 269 Medicare Part D claims in 2023 as a Acute Care Nurse Practitioner in HOUSTON, Texas.

269
Part D claims, 2023

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.

PREEMA JOSEPH, AGACNP's Medicare Part D volume vs every U.S. prescriber

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

269 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 PREEMA JOSEPH, AGACNP?

Quality data not reported

NPI registry status

Active

Issued 09/18/2013

NPI 1225464522

Primary specialty

Acute Care Nurse Practitioner

Mid-sized

24,583 US NPIs in this specialty

Medicare Part D claims

269 53% vs specialty avg

2023 prescription claims

Specialty avg: 576

Specialty distribution in Texas

How Acute Care Nurse Practitioner compares to other specialties among Texas providers

Texas providers

Acute Care Nurse Practitioner share within Texas

1. Acute Care Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Acute Care Nurse Practitioner share within Texas

Specialty board-certification context

Estimated specialty board-certified rate — Acute Care Nurse Practitioner (ABMS / AOA reference)

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

Est. board-certified rate (Acute Care Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Acute Care 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).

PREEMA JOSEPH, AGACNP appears in the CMS NPPES registry as a Acute Care Nurse Practitioner provider holding AGACNP credentials at 6400 FANNIN ST STE 2800, HOUSTON, TX, 77030, with a listed phone of (713) 486-8000. NPI 1225464522 was issued on 09/18/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what JOSEPH 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 269 prescription claims written by this provider, covering 80 Medicare beneficiaries and totaling roughly $15K in drug spend, with an opioid prescribing rate of 15.2%. 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.

Acute Care Nurse Practitioner is a mid-sized specialty nationwide, with 24,583 enrolled providers across 53 states and an average of 576 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

6400 FANNIN ST STE 2800
HOUSTON, TX 77030

Provider Details

NPI 1225464522
Specialty Acute Care Nurse Practitioner
Credentials AGACNP
Gender Female
NPI Issued 09/18/2013

Hospital and facility affiliations

Facilities where PREEMA JOSEPH, AGACNP 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.

UT PHYSICIANS
HOUSTON, 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 PREEMA JOSEPH, AGACNP. To verify PREEMA JOSEPH, AGACNP'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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

269
Total Claims
$15K
Total Drug Cost
80
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
305
Total Day Supply
4,625
Generic Drug Cost
$14K
Opioid Claims
41 (15.2% rate)
Antibiotic Claims
43

Patient Demographics

Average Patient Age
68.8 years
Avg HCC Risk Score
1.67
Gender Split
61% female / 39% male

Top Prescribed Drugs (Medicare Part D)

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

What PREEMA JOSEPH, AGACNP 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
Ondansetron Hcl
47
Levetiracetam
44
Acetaminophen-Codeine
Acetaminophen With Codeine
35
Dexamethasone
19
Famotidine
19
Clopidogrel
Clopidogrel Bisulfate
15
Vancomycin Hcl
13

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

Acute Care Nurse Practitioner Overview

How PREEMA JOSEPH, AGACNP fits within the Acute Care Nurse Practitioner landscape nationally.

24,583
Acute Care Nurse Practitioner Providers in US
53
States with Acute Care Nurse Practitioner
576
Avg Claims per Provider

PREEMA JOSEPH, AGACNP's 269 claims are below the specialty average of 576.

Nearby Acute Care Nurse Practitioner Providers in Texas

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

Compare Acute Care Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is PREEMA JOSEPH, AGACNP's specialty?
PREEMA JOSEPH, AGACNP specializes in Acute Care Nurse Practitioner and practices in HOUSTON, Texas. Credentials: AGACNP.
How much does PREEMA JOSEPH, AGACNP prescribe under Medicare Part D?
In 2023, PREEMA JOSEPH, AGACNP wrote 269 Medicare Part D claims totaling $15K in drug costs for 80 beneficiaries.
Where is PREEMA JOSEPH, AGACNP located?
PREEMA JOSEPH, AGACNP is located at 6400 FANNIN ST STE 2800, HOUSTON, TX, 77030. Phone: (713) 486-8000.
What is PREEMA JOSEPH, AGACNP's NPI number?
PREEMA JOSEPH, AGACNP's National Provider Identifier (NPI) is 1225464522, issued on 09/18/2013.
Does PREEMA JOSEPH, AGACNP prescribe opioids?
Yes, PREEMA JOSEPH, AGACNP had 41 opioid claims in 2023 with an opioid prescribing rate of 15.2%.
How many Acute Care Nurse Practitioner providers are there in the US?
There are 24,583 Acute Care Nurse Practitioner providers across 53 states in the US. The average Acute Care Nurse Practitioner provider writes 576 Medicare Part D claims per year.
What drugs does PREEMA JOSEPH, AGACNP prescribe most often?
Based on 2023 Medicare Part D data, PREEMA JOSEPH, AGACNP's most frequently prescribed drugs include Ondansetron Hcl, Levetiracetam, Acetaminophen-Codeine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PREEMA JOSEPH, AGACNP accept Medicare?
PREEMA JOSEPH, AGACNP appears in CMS Medicare data with 269 Part D claims and 80 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PREEMA JOSEPH, AGACNP's credentials?
PREEMA JOSEPH, AGACNP's NPI is 1225464522 with credentials AGACNP. 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