NPI registry status
Active
2026 NPPES data Acute Care Nurse Practitioner NPI 1548870686 RN, MSN, AGACNP-BC
Verify on CMS → Rachel Adrian, RN, MSN, AGACNP-BC
Acute Care Nurse Practitioner in La Jolla, California.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 25,345 in Acute 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
719
Medicare Part D claims · 217 beneficiaries · Acute Care Nurse Practitioner avg: 623
Generic prescribing
76%
generic claims · 24% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$405.16
16 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Rachel Adrian, RN, MSN, AGACNP-BC filed 719 Medicare Part D claims in 2024 as an Acute Care Nurse Practitioner in La Jolla, California, prescribing 76% generic.
- 719
- Part D claims, 2024
- 76%
- generic prescribing
- $405.16
- industry payments (Sunshine Act)
- ≥70th
- pct by Part D claim volume (lower-bound band)
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.
Federal trust snapshot
What official records show about Rachel Adrian, RN, MSN, AGACNP-BC
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1548870686), first enumerated 08/04/2020.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 719 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$405.16 in reported industry payments (16 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
California statewide board action statistics are published annually — these figures describe aggregate state activity, not Rachel Adrian, RN, MSN, AGACNP-BC's individual license status. Verify directly with the state medical board.
Source: MBC annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
Compare Adrian with other Acute Care Nurse Practitioner providers
Same primary specialty, same federal CMS NPPES roster.
Also enrolled in California
- Jessica Aaronson Lynwood, CA
- Naima Abdirahman, NP Long Beach, CA
- Jenna Abeloe, NP Ventura, CA
- Rhonald Abitona San Francisco, CA
- Tara Abrams, NP Los Angeles, CA
- Andrea Abramson, RN, CNS, NP Rancho Mirage, CA
Other specialties in La Jolla: Student in an Organized Health Care Education/Training Program (387) · Internal Medicine Physician (220) · Pharmacist (187) · Physician Assistant (138)
CMS NPPES provider registry desk
NPI 1548870686 · Acute Care Nurse Practitioner
NPI-10 · ENUM-RECENT · TAX-MID · RX-LIGHT · BOOK-LIGHT · PHOTO-ENUM
- NPI-10 1548870686
- ENUM-RECENT 2020
- TAX-MID 25K Acute Care
- RX-LIGHT 719
- BOOK-LIGHT 1,703 in California
- PHOTO-ENUM Joseph Rebideaux, AG… · 2020
Rachel Adrian, RN, MSN, AGACNP-BC's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
719 ≥ 70th percentile 70% of 1,416,883 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
What does the federal data show about Rachel Adrian, RN, MSN, AGACNP-BC?
Quality data not reportedPrimary specialty
Acute Care Nurse Practitioner
Medicare Part D claims
719 15% vs specialty avg
Specialty distribution in California
How Acute Care Nurse Practitioner compares to other specialties among California providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Acute Care Nurse Practitioner. Verify directly:
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).
Practice Address
Provider Details
| NPI | 1548870686 |
|---|---|
| Specialty | Acute Care Nurse Practitioner |
| Credentials | RN, MSN, AGACNP-BC |
| Gender | Female |
| NPI Issued | 08/04/2020 |
Hospital and facility affiliations
Facilities where Rachel Adrian, RN, MSN, AGACNP-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.
Scripps Health
La Jolla, 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).
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 Rachel Adrian, RN, MSN, AGACNP-BC. Source: openpaymentsdata.cms.gov.
Total received
$405
Largest payer
Daiichi Sankyo Inc.
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 - 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 Rachel Adrian, RN, MSN, AGACNP-BC. To verify Rachel Adrian, RN, MSN, AGACNP-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
Rachel Adrian, RN, MSN, AGACNP-BC - brand share 24.0%
Acute Care Nurse Practitioner average
24% brand-name claims vs 76% generic, on 719 2024 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 2024.
719
Total Claims
$2.1M
Total Drug Cost
217
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,136.033
- Total Day Supply
- 31,659
- Brand vs Generic
- 24% brand / 76% generic
- Brand Drug Cost
- $2.1M
- Generic Drug Cost
- $17K
- Opioid Claims
- 55 (7.6% rate)
Patient Demographics
- Average Patient Age
- 72.4 years
- Avg HCC Risk Score
- 1.97
- Age Distribution
- <65: 21, 65-74: 110, 75-84: 73, 85+: 13
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Rachel Adrian, RN, MSN, AGACNP-BC prescribes most
Top Medicare Part D drugs by claim count, 2024
- Anastrozole
Anastrozole
219 claims
- Exemestane 53
Exemestane
53 claims
- Ibrance 39
Ibrance
39 claims
- Tamoxifen Citrate 32
Tamoxifen Citrate
32 claims
- Letrozole 28
Letrozole
28 claims
- Verzenio 23
Verzenio
23 claims
- Oxycodone Hcl 19
Oxycodone Hcl
19 claims
- Lynparza 18
Lynparza
18 claims
| Drug | Claims |
|---|---|
| Anastrozole | 219 |
| Exemestane | 53 |
| Ibrance Palbociclib | 39 |
| Tamoxifen Citrate | 32 |
| Letrozole | 28 |
| Verzenio Abemaciclib | 23 |
| Oxycodone Hcl | 19 |
| Lynparza Olaparib | 18 |
| Lorazepam | 17 |
| Duloxetine Hcl | 15 |
* 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 Rachel Adrian, RN, MSN, AGACNP-BC fits within the Acute Care Nurse Practitioner landscape nationally.
25,345
Acute Care Nurse Practitioner Providers in US
53
States with Acute Care Nurse Practitioner
623
Avg Claims per Provider
Rachel Adrian, RN, MSN, AGACNP-BC's 719 claims are above the specialty average of 623.
Nationwide Acute Care Nurse Practitioner peers with similar MIPS or enrollment year
Two federal-record peer sets for Adrian, both outside California so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2020)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Acute Care Nurse Practitioner Providers in California
Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Adrian.
One of 1,703 Acute Care Nurse Practitioner providers enrolled in California, 11 are shown on this page.
Christopher Acebedo
NP
San Francisco, CA
Veronica Acevedo
ACNP-BC
Los Angeles, CA
Mary Alice Ackerman
NP-C
Beverly Hills, CA
Margarita Acosta
RN, AGACNP
Sylmar, CA
Michael Agbisit
ACNPC-AG
San Jacinto, CA
Compare Acute Care Nurse Practitioner nationally: see state-by-state distribution →
Frequently Asked Questions
What is Rachel Adrian, RN, MSN, AGACNP-BC's specialty? ▼
Rachel Adrian, RN, MSN, AGACNP-BC specializes in Acute Care Nurse Practitioner and practices in La Jolla, California. Credentials: RN, MSN, AGACNP-BC.
How much does Rachel Adrian, RN, MSN, AGACNP-BC prescribe under Medicare Part D? ▼
In 2024, Rachel Adrian, RN, MSN, AGACNP-BC wrote 719 Medicare Part D claims totaling $2.1M in drug costs for 217 beneficiaries.
Where is Rachel Adrian, RN, MSN, AGACNP-BC located? ▼
Rachel Adrian, RN, MSN, AGACNP-BC is located at 10710 N TORREY PINES RD, La Jolla, CA, 92037. Phone: (858) 554-8984.
What is Rachel Adrian, RN, MSN, AGACNP-BC's NPI number? ▼
Rachel Adrian, RN, MSN, AGACNP-BC's National Provider Identifier (NPI) is 1548870686, issued on 08/04/2020.
Does Rachel Adrian, RN, MSN, AGACNP-BC prescribe more brand-name or generic drugs? ▼
Rachel Adrian, RN, MSN, AGACNP-BC's prescribing is 24% brand-name and 76% generic drugs by claim count, with $2.1M in brand drug costs.
Does Rachel Adrian, RN, MSN, AGACNP-BC prescribe opioids? ▼
Yes, Rachel Adrian, RN, MSN, AGACNP-BC had 55 opioid claims in 2024 with an opioid prescribing rate of 7.6%.
How many Acute Care Nurse Practitioner providers are there in the US? ▼
There are 25,345 Acute Care Nurse Practitioner providers across 53 states in the US. The average Acute Care Nurse Practitioner provider writes 623 Medicare Part D claims per year.
What drugs does Rachel Adrian, RN, MSN, AGACNP-BC prescribe most often? ▼
Based on 2024 Medicare Part D data, Rachel Adrian, RN, MSN, AGACNP-BC's most frequently prescribed drugs include Anastrozole, Exemestane, Ibrance. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Rachel Adrian, RN, MSN, AGACNP-BC accept Medicare? ▼
Rachel Adrian, RN, MSN, AGACNP-BC appears in CMS Medicare data with 719 Part D claims and 217 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Rachel Adrian, RN, MSN, AGACNP-BC's credentials? ▼
Rachel Adrian, RN, MSN, AGACNP-BC's NPI is 1548870686 with credentials RN, MSN, AGACNP-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
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 (2024). 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 August 2026 (NPPES) / 2024 (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
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 August 2026.