2026 NPPES data Nurse Practitioner NPI 1083191316 AGNP-C
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Rachel Bethke, AGNP-C

Nurse Practitioner in Coon Rapids, Minnesota.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 89,808 in 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
3K
Medicare Part D claims · 706 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
83.5/100
▲ 0 pts above national avg 83.5 · Above neutral
Industry payments
$204.49
8 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Rachel Bethke, AGNP-C reported a CMS MIPS final score of 83.5/100 - above the 83.5 national average - and filed 3,406 Medicare Part D claims in 2024.

83.5/100
MIPS score · +0 vs avg
3K
Part D claims, 2024
83%
generic prescribing
$204.49
industry payments (Sunshine Act)

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 Bethke, AGNP-C

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1083191316), first enumerated 07/19/2018.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 3,406 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 83.5/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • 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

    $204.49 in reported industry payments (8 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • 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.

CMS NPPES provider registry desk

NPI 1083191316 · Nurse Practitioner

NPI-10 · ENUM-RECENT · TAX-MEGA · MIPS-INLINE · RX-MID · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1083191316
  • ENUM-RECENT 2018
  • TAX-MEGA 90K Nurse Practitioner
  • MIPS-INLINE 83.5/100
  • RX-MID 3,406
  • BOOK-LIGHT 2,270 in Minnesota
  • PHOTO-FINISH Alexandra Arakawa, A… · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Rachel Bethke, AGNP-C's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

84 ≥ 39th percentile 39% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). This entry sits in this band. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Rachel Bethke, AGNP-C sits

This provider among nurse practitioner peers

Across the 13,205 nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Rachel Bethke, AGNP-C writes more Part D claims than 92% of them and scores higher on MIPS quality than 43% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.148.372.496.6Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 43Rachel Bethke, AGNP-C, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 43
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 Rachel Bethke, AGNP-C. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Rachel Bethke, AGNP-C?

Near national average

NPI registry status

Active

Issued 07/19/2018

NPI 1083191316

Primary specialty

Nurse Practitioner

High-volume

89,808 US NPIs in this specialty

Medicare Part D claims

3,406 198% vs specialty avg

2024 prescription claims

Specialty avg: 1,144

MIPS final score

83.5/100 0 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Minnesota

How Nurse Practitioner compares to other specialties among Minnesota providers

Minnesota providers
Behavior Technician12%Clinical Social Worker4.7%Physical Therapist4%Pharmacist3.7%Student in an Organized Heal…3.4%Mental Health Counselor3.1%Nurse Practitioner1.7%
Largest specialties in Minnesota (% of in-state providers)

Medicare quality performance, MIPS

Rachel Bethke, AGNP-C's 2023 MIPS final score plotted against the Nurse Practitioner national average

Near national average
MIPS Final Score
83.5/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%83.5%
MIPS final score (Nurse Practitioner) - 83.5/100 vs national avg 83.5
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

4040 COON RAPIDS BLVD NW
Coon Rapids, MN 55433

Provider Details

NPI 1083191316
Specialty Nurse Practitioner
Credentials AGNP-C
Gender Female
NPI Issued 07/19/2018

CMS Quality Score (MIPS)

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

83.5331
Final Score
Measured-score avg: 83.5
81.7967
Quality
63.3136
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Rachel Bethke, AGNP-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.

Allina Health System
Coon Rapids, MN

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 Bethke, AGNP-C. Source: openpaymentsdata.cms.gov.

Total received

$204

Largest payer

CVRx, 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.

Brand vs generic prescribing mix · Typical

Rachel Bethke, AGNP-C - brand share 17.0%
Nurse Practitioner average

17% brand-name claims vs 83% generic, on 3,406 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.

3,406
Total Claims
$622K
Total Drug Cost
706
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
8,625
Total Day Supply
255,012
Brand vs Generic
17% brand / 83% generic
Brand Drug Cost
$567K
Generic Drug Cost
$55K
Opioid Claims
14 (0.4% rate)
Antibiotic Claims
22

Patient Demographics

Average Patient Age
75.2 years
Avg HCC Risk Score
1.63
Gender Split
49% female / 51% male
Age Distribution
<65: 34, 65-74: 308, 75-84: 272, 85+: 92

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Rachel Bethke, AGNP-C prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Metoprolol Succinate
362
Rosuvastatin Calcium
329
Atorvastatin Calcium
204
Eliquis
Apixaban
181
Losartan Potassium
176
Lisinopril
159
Furosemide
157
Repatha Sureclick
Evolocumab
154
Ezetimibe
143
Amlodipine Besylate
115

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

Nurse Practitioner Overview

How Rachel Bethke, AGNP-C fits within the Nurse Practitioner landscape nationally.

89,808
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,144
Avg Claims per Provider

Rachel Bethke, AGNP-C's 3,406 claims are above the specialty average of 1,144.

Nationwide Nurse Practitioner peers with similar MIPS or enrollment year

Two federal-record peer sets for Bethke, both outside Minnesota so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (83.5 here).

Same NPPES enumeration year (2018)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Nurse Practitioner Providers in Minnesota

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

One of 2,270 Nurse Practitioner providers enrolled in Minnesota, 5 are shown here.

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

Frequently Asked Questions

What is Rachel Bethke, AGNP-C's specialty?
Rachel Bethke, AGNP-C specializes in Nurse Practitioner and practices in Coon Rapids, Minnesota. Credentials: AGNP-C.
How much does Rachel Bethke, AGNP-C prescribe under Medicare Part D?
In 2024, Rachel Bethke, AGNP-C wrote 3,406 Medicare Part D claims totaling $622K in drug costs for 706 beneficiaries.
What is Rachel Bethke, AGNP-C's Medicare quality score?
Rachel Bethke, AGNP-C has a CMS MIPS Final Score of 83.5/100 (Quality: 81.8, Cost: 63.3). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Rachel Bethke, AGNP-C located?
Rachel Bethke, AGNP-C is located at 4040 COON RAPIDS BLVD NW, Coon Rapids, MN, 55433. Phone: (763) 427-9980.
What is Rachel Bethke, AGNP-C's NPI number?
Rachel Bethke, AGNP-C's National Provider Identifier (NPI) is 1083191316, issued on 07/19/2018.
Does Rachel Bethke, AGNP-C prescribe more brand-name or generic drugs?
Rachel Bethke, AGNP-C's prescribing is 17% brand-name and 83% generic drugs by claim count, with $567K in brand drug costs.
Does Rachel Bethke, AGNP-C prescribe opioids?
Yes, Rachel Bethke, AGNP-C had 14 opioid claims in 2024 with an opioid prescribing rate of 0.4%.
How many Nurse Practitioner providers are there in the US?
There are 89,808 Nurse Practitioner providers across 56 states in the US. The average Nurse Practitioner provider writes 1,144 Medicare Part D claims per year.
What drugs does Rachel Bethke, AGNP-C prescribe most often?
Based on 2024 Medicare Part D data, Rachel Bethke, AGNP-C's most frequently prescribed drugs include Metoprolol Succinate, Rosuvastatin Calcium, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Rachel Bethke, AGNP-C accept Medicare?
Rachel Bethke, AGNP-C appears in CMS Medicare data with 3,406 Part D claims and 706 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Rachel Bethke, AGNP-C's credentials?
Rachel Bethke, AGNP-C's NPI is 1083191316 with credentials AGNP-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 (2024). 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 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.