2026 NPPES data Family Nurse Practitioner NPI 1659613636 NP
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RACHAEL PEDERSEN, NP

Family Nurse Practitioner in BOISE, Idaho. 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
72
Medicare Part D claims · 30 beneficiaries · Family Nurse Practitioner avg: 1K
MIPS score
83.3209/100
▲ 0 pts above national avg 83.1 · [object Object]

What the federal data shows

RACHAEL PEDERSEN, NP reported a CMS MIPS final score of 83.3209/100 — above the 83.1 national average — and filed 72 Medicare Part D claims in 2023.

83.3209/100
MIPS score · +0 vs avg
72
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.

RACHAEL PEDERSEN, NP's MIPS score vs every scored U.S. clinician

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

83 42nd percentile higher than 42% 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

What does the federal data show about RACHAEL PEDERSEN, NP?

Near national average

NPI registry status

Active

Issued 03/18/2013

NPI 1659613636

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

72 94% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

MIPS final score

83.3209/100 0.22090000000000032% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Idaho

How Family Nurse Practitioner compares to other specialties among Idaho providers

Idaho providers

Family Nurse Practitioner share within Idaho

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

Medicare quality performance — MIPS

RACHAEL PEDERSEN, NP's 2023 MIPS final score plotted against the Family Nurse Practitioner national average

Near national average
MIPS Final Score
83.3209/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Nurse Practitioner) — 83.3209/100 vs national avg 83.1

0%100%National avg83%83.3%
MIPS final score (Family Nurse Practitioner) — 83.3209/100 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).

RACHAEL PEDERSEN, NP appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding NP credentials at 100 E WARM SPRINGS AVE STE B, BOISE, ID, 83712, with a listed phone of (208) 381-6930. NPI 1659613636 was issued on 03/18/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PEDERSEN 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 72 prescription claims written by this provider, covering 30 Medicare beneficiaries and totaling roughly $3K in drug spend, with an opioid prescribing rate of 22.2%. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 83.3209/100 for the 2023 performance year (Quality 79.5148, Cost 64.8883), compared with the national average of 83.1.

Family Nurse Practitioner is a high-volume specialty nationwide, with 209,817 enrolled providers across 56 states and an average of 1,222 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

100 E WARM SPRINGS AVE STE B
BOISE, ID 83712

Provider Details

NPI 1659613636
Specialty Family Nurse Practitioner
Credentials NP
Gender Female
NPI Issued 03/18/2013

CMS Quality Score (MIPS)

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

83.3209
Final Score
Avg: 83.1
79.5148
Quality
64.8883
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where RACHAEL PEDERSEN, NP 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.

ST LUKES CLINIC-TREASURE VALLEY LLC
BOISE, ID

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

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

72
Total Claims
$3K
Total Drug Cost
30
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
73
Total Day Supply
719
Generic Drug Cost
$916
Opioid Claims
16 (22.2% rate)
Antibiotic Claims
27

Patient Demographics

Average Patient Age
74.3 years
Avg HCC Risk Score
1.36
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.

Drug Claims
Cephalexin
11

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

Family Nurse Practitioner Overview

How RACHAEL PEDERSEN, NP fits within the Family Nurse Practitioner landscape nationally.

209,817
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider

RACHAEL PEDERSEN, NP's 72 claims are below the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in Idaho

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

Compare Family Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is RACHAEL PEDERSEN, NP's specialty?
RACHAEL PEDERSEN, NP specializes in Family Nurse Practitioner and practices in BOISE, Idaho. Credentials: NP.
How much does RACHAEL PEDERSEN, NP prescribe under Medicare Part D?
In 2023, RACHAEL PEDERSEN, NP wrote 72 Medicare Part D claims totaling $3K in drug costs for 30 beneficiaries.
What is RACHAEL PEDERSEN, NP's Medicare quality score?
RACHAEL PEDERSEN, NP has a CMS MIPS Final Score of 83.3209/100 (Quality: 79.5148, Cost: 64.8883). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RACHAEL PEDERSEN, NP located?
RACHAEL PEDERSEN, NP is located at 100 E WARM SPRINGS AVE STE B, BOISE, ID, 83712. Phone: (208) 381-6930.
What is RACHAEL PEDERSEN, NP's NPI number?
RACHAEL PEDERSEN, NP's National Provider Identifier (NPI) is 1659613636, issued on 03/18/2013.
Does RACHAEL PEDERSEN, NP prescribe opioids?
Yes, RACHAEL PEDERSEN, NP had 16 opioid claims in 2023 with an opioid prescribing rate of 22.2%.
How many Family Nurse Practitioner providers are there in the US?
There are 209,817 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,222 Medicare Part D claims per year.
What drugs does RACHAEL PEDERSEN, NP prescribe most often?
Based on 2023 Medicare Part D data, RACHAEL PEDERSEN, NP's most frequently prescribed drugs include Cephalexin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RACHAEL PEDERSEN, NP accept Medicare?
RACHAEL PEDERSEN, NP appears in CMS Medicare data with 72 Part D claims and 30 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RACHAEL PEDERSEN, NP's credentials?
RACHAEL PEDERSEN, NP's NPI is 1659613636 with credentials NP. 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