2026 NPPES data Nurse Practitioner NPI 1609427137 APN, FNP-BC
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Prina Patel, APN, FNP-BC

Nurse Practitioner in Palo Alto, California. 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
132
Medicare Part D claims · 52 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
85.1/100
▲ 2 pts above national avg 83.1 · Above neutral

What the federal data shows

Prina Patel, APN, FNP-BC reported a CMS MIPS final score of 85.1/100 — above the 83.1 national average — and filed 132 Medicare Part D claims in 2023.

85.1/100
MIPS score · +2 vs avg
132
Part D claims, 2023
86%
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.

Prina Patel, APN, FNP-BC's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

85 49th percentile higher than 49% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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 Prina Patel, APN, FNP-BC sits

This provider among nurse practitioner peers

Across the 13,476 nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Prina Patel, APN, FNP-BC writes more Part D claims than 26% of them and scores higher on MIPS quality than 49% — 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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.148.372.496.6Part D claim volume — percentile in specialtyMIPS quality — percentile
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one nurse practitioner peer from a representative sample of 60; the gold marker is Prina Patel, APN, FNP-BC. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Prina Patel, APN, FNP-BC?

High performer (top quartile)

NPI registry status

Active

Issued 09/25/2019

NPI 1609427137

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

132 88% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

85.1/100 2 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in California

How Nurse Practitioner compares to other specialties among California providers

California providers

Nurse Practitioner share within California

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

Medicare quality performance — MIPS

Prina Patel, APN, FNP-BC's 2023 MIPS final score plotted against the Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
85.1/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) — 85.1/100 vs national avg 83.1

0%100%National avg83%85.1%
MIPS final score (Nurse Practitioner) — 85.1/100 vs national avg 83.1

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).

Prina Patel, APN, FNP-BC appears in the CMS NPPES registry as a Nurse Practitioner provider holding APN, FNP-BC credentials at 795 EL CAMINO REAL, Palo Alto, CA, 94301, with a listed phone of (650) 853-2972. NPI 1609427137 was issued on 09/25/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Patel 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 132 prescription claims written by this provider, covering 52 Medicare beneficiaries and totaling roughly $14K in drug spend, split 14% brand-name and 86% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 85.1/100 for the 2023 performance year (Quality 73.2, Cost 78), compared with the national average of 83.1.

Nurse Practitioner is a high-volume specialty nationwide, with 87,227 enrolled providers across 56 states and an average of 1,084 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

795 EL CAMINO REAL
Palo Alto, CA 94301

Provider Details

NPI 1609427137
Specialty Nurse Practitioner
Credentials APN, FNP-BC
Gender Female
NPI Issued 09/25/2019

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

85.094
Final Score
Avg: 83.1
73.1645
Quality
77.9822
Cost
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Prina Patel, APN, FNP-BC 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.

Sutter Bay Medical Foundation
Oakland, CA

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 — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to Prina Patel, APN, FNP-BC. To verify Prina Patel, APN, FNP-BC's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Prina Patel, APN, FNP-BC — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 132 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.

132
Total Claims
$14K
Total Drug Cost
52
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
284
Total Day Supply
8,282
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$10K
Generic Drug Cost
$3K

Patient Demographics

Average Patient Age
73.3 years
Avg HCC Risk Score
1.59
Gender Split
69% female / 31% male

Top Prescribed Drugs (Medicare Part D)

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

What Prina Patel, APN, FNP-BC 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
Omeprazole
45
Pantoprazole Sodium
26
Colestipol Hcl
12
Famotidine
11

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

Nurse Practitioner Overview

How Prina Patel, APN, FNP-BC fits within the Nurse Practitioner landscape nationally.

87,227
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,084
Avg Claims per Provider

Prina Patel, APN, FNP-BC's 132 claims are below the specialty average of 1,084.

Nearby Nurse Practitioner Providers in California

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

Compare 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 California medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby 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.

Frequently Asked Questions

What is Prina Patel, APN, FNP-BC's specialty?
Prina Patel, APN, FNP-BC specializes in Nurse Practitioner and practices in Palo Alto, California. Credentials: APN, FNP-BC.
How much does Prina Patel, APN, FNP-BC prescribe under Medicare Part D?
In 2023, Prina Patel, APN, FNP-BC wrote 132 Medicare Part D claims totaling $14K in drug costs for 52 beneficiaries.
What is Prina Patel, APN, FNP-BC's Medicare quality score?
Prina Patel, APN, FNP-BC has a CMS MIPS Final Score of 85.1/100 (Quality: 73.2, Cost: 78). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Prina Patel, APN, FNP-BC located?
Prina Patel, APN, FNP-BC is located at 795 EL CAMINO REAL, Palo Alto, CA, 94301. Phone: (650) 853-2972.
What is Prina Patel, APN, FNP-BC's NPI number?
Prina Patel, APN, FNP-BC's National Provider Identifier (NPI) is 1609427137, issued on 09/25/2019.
Does Prina Patel, APN, FNP-BC prescribe more brand-name or generic drugs?
Prina Patel, APN, FNP-BC's prescribing is 14% brand-name and 86% generic drugs by claim count, with $10K in brand drug costs.
How many Nurse Practitioner providers are there in the US?
There are 87,227 Nurse Practitioner providers across 56 states in the US. The average Nurse Practitioner provider writes 1,084 Medicare Part D claims per year.
What drugs does Prina Patel, APN, FNP-BC prescribe most often?
Based on 2023 Medicare Part D data, Prina Patel, APN, FNP-BC's most frequently prescribed drugs include Omeprazole, Pantoprazole Sodium, Colestipol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Prina Patel, APN, FNP-BC accept Medicare?
Prina Patel, APN, FNP-BC appears in CMS Medicare data with 132 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 Prina Patel, APN, FNP-BC's credentials?
Prina Patel, APN, FNP-BC's NPI is 1609427137 with credentials APN, FNP-BC. 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.
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