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2026 NPPES data Psychiatric/Mental Health Registered Nurse NPI 1053916379 MSN, APRN, PMHNP
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Rachel Ivanov, MSN, APRN, PMHNP

Psychiatric/Mental Health Registered Nurse in New Braunfels, Texas.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 11,949 in Psychiatric/Mental Health Registered Nurse, 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 · 257 beneficiaries · Psychiatric/Mental Health Registered Nurse avg: 830
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
98.1/100
▲ 15 pts above national avg 83.5 · Exceptional
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Rachel Ivanov, MSN, APRN, PMHNP reported a CMS MIPS final score of 98.1/100 - above the 83.5 national average - and filed 2,542 Medicare Part D claims in 2024.

98.1/100
MIPS score · +15 vs avg
3K
Part D claims, 2024
93%
generic prescribing
≥89th
pct among measured MIPS (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 Ivanov, MSN, APRN, PMHNP

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 1053916379), first enumerated 12/03/2020.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 2,542 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 98.1/100 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

  • State context

    State board disciplinary context

    Texas statewide board action statistics are published annually — these figures describe aggregate state activity, not Rachel Ivanov, MSN, APRN, PMHNP's individual license status. Verify directly with the state medical board.

    Source: TMB 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.

CMS NPPES provider registry desk

NPI 1053916379 · Psychiatric/Mental Health Registered Nurse

NPI-10 · ENUM-RECENT · TAX-MID · MIPS-ELITE · RX-MID · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1053916379
  • ENUM-RECENT 2020
  • TAX-MID 12K Psychiatric/Mental Health
  • MIPS-ELITE 98.1/100
  • RX-MID 2,542
  • BOOK-THIN 279 in Texas
  • PHOTO-FINISH Jan Lorenz · ±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 Ivanov, MSN, APRN, PMHNP'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.

98 ≥ 89th percentile 89% 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%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. 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 Ivanov, MSN, APRN, PMHNP sits

This provider among psychiatric/mental health registered nurse peers

Across the 110 psychiatric/mental health registered nurse providers who report both Medicare Part D prescribing and a MIPS quality score, Rachel Ivanov, MSN, APRN, PMHNP writes more Part D claims than 85% of them and scores higher on MIPS quality than 79% - placing this provider in the high-volume, high-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: 77 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 57Rachel Ivanov, MSN, APRN, PMHNP, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 79
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one psychiatric/mental health registered nurse peer from a representative sample of 60; the gold marker is Rachel Ivanov, MSN, APRN, PMHNP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Rachel Ivanov, MSN, APRN, PMHNP?

High performer (top quartile)

NPI registry status

Active

Issued 12/03/2020

NPI 1053916379

Primary specialty

Psychiatric/Mental Health Registered Nurse

Mid-sized

11,949 US NPIs in this specialty

Medicare Part D claims

2,542 206% vs specialty avg

2024 prescription claims

Specialty avg: 830

MIPS final score

98.1/100 14.6 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in Texas

How Psychiatric/Mental Health Registered Nurse compares to other specialties among Texas providers

Texas providers
Behavior Technician6%Student in an Organized Heal…5.3%Family Nurse Practitioner4.5%Professional Counselor4.4%Pharmacist4.3%Speech-Language Pathologist3.9%Psychiatric/Mental Health Re…0.1%
Largest specialties in Texas (% of in-state providers)

Medicare quality performance, MIPS

Rachel Ivanov, MSN, APRN, PMHNP's 2023 MIPS final score plotted against the Psychiatric/Mental Health Registered Nurse national average

High performer (top quartile)
MIPS Final Score
98.1/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%98.1%
MIPS final score (Psychiatric/Mental Health Registered Nurse) - 98.1/100 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

705 LANDA ST STE C
New Braunfels, TX 78130
(210) 360-1590

Provider Details

NPI 1053916379
Specialty Psychiatric/Mental Health Registered Nurse
Credentials MSN, APRN, PMHNP
Gender Female
NPI Issued 12/03/2020

CMS Quality Score (MIPS)

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

98.0699
Final Score
Measured-score avg: 83.5
86.1398
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Rachel Ivanov, MSN, APRN, PMHNP 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 Marys Regional Medical Center
Lewiston, ME

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 Rachel Ivanov, MSN, APRN, PMHNP. To verify Rachel Ivanov, MSN, APRN, PMHNP'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.

Brand vs generic prescribing mix · Generic-heavy

Rachel Ivanov, MSN, APRN, PMHNP - brand share 7.0%
Psychiatric/Mental Health Registered Nurse average

7% brand-name claims vs 93% generic, on 2,542 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.

2,542
Total Claims
$401K
Total Drug Cost
257
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,714.733
Total Day Supply
139,374
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$267K
Generic Drug Cost
$134K

Patient Demographics

Average Patient Age
55.1 years
Avg HCC Risk Score
1.21
Gender Split
63% female / 37% male
Age Distribution
<65: 174, 65-74: 72, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What Rachel Ivanov, MSN, APRN, PMHNP 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
Clonazepam
 161
Trazodone Hcl
 150
Quetiapine Fumarate
 133
Lamotrigine
 102
Duloxetine Hcl
 85
Clonidine Hcl
 84
Lorazepam
 84
Bupropion Xl
Bupropion Hcl
81
Venlafaxine Hcl Er
Venlafaxine Hcl
74
Aripiprazole
 68

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

More Psychiatric/Mental Health Registered Nurse in TX → All providers in Texas → Compare specialties →

Psychiatric/Mental Health Registered Nurse Overview

How Rachel Ivanov, MSN, APRN, PMHNP fits within the Psychiatric/Mental Health Registered Nurse landscape nationally.

11,949
Psychiatric/Mental Health Registered Nurse Providers in US
54
States with Psychiatric/Mental Health Registered Nurse
830
Avg Claims per Provider

Rachel Ivanov, MSN, APRN, PMHNP's 2,542 claims are above the specialty average of 830.

Nationwide Psychiatric/Mental Health Registered Nurse peers with similar MIPS or enrollment year

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

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (98.1 here).

Jan Lorenz 98.1 NH Alison Tetrault 98.1 ME Phyllis Wilkins 98.1 ME Kinsey Airhart 98.3 NM

Same NPPES enumeration year (2020)

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

Christopher Hindman Anchorage, AK Whitney Sanders Greenville, SC Laura Craig Oshkosh, WI Julie Kotelman Tucson, AZ

Nearby Psychiatric/Mental Health Registered Nurse Providers in Texas

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

One of 279 Psychiatric/Mental Health Registered Nurse providers enrolled in Texas, 5 are shown here.

Taiwo Abioye
PMHNP
El Paso, TX
Amy Abraham
NP
Houston, TX
Bernice Adasa
Humble, TX
Dr. Stella Adebusoye
DNP,PMHNP,FNP,APRNBC
Dallas, TX
Dr. Jubril Adediran
PMHNP-BC, DNP
Houston, TX

Compare Psychiatric/Mental Health Registered Nurse nationally: see state-by-state distribution →

Frequently Asked Questions

What is Rachel Ivanov, MSN, APRN, PMHNP's specialty? ▼
Rachel Ivanov, MSN, APRN, PMHNP specializes in Psychiatric/Mental Health Registered Nurse and practices in New Braunfels, Texas. Credentials: MSN, APRN, PMHNP.
How much does Rachel Ivanov, MSN, APRN, PMHNP prescribe under Medicare Part D? ▼
In 2024, Rachel Ivanov, MSN, APRN, PMHNP wrote 2,542 Medicare Part D claims totaling $401K in drug costs for 257 beneficiaries.
What is Rachel Ivanov, MSN, APRN, PMHNP's Medicare quality score? ▼
Rachel Ivanov, MSN, APRN, PMHNP has a CMS MIPS Final Score of 98.1/100 (Quality: 86.1). 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 Ivanov, MSN, APRN, PMHNP located? ▼
Rachel Ivanov, MSN, APRN, PMHNP is located at 705 LANDA ST STE C, New Braunfels, TX, 78130. Phone: (210) 360-1590.
What is Rachel Ivanov, MSN, APRN, PMHNP's NPI number? ▼
Rachel Ivanov, MSN, APRN, PMHNP's National Provider Identifier (NPI) is 1053916379, issued on 12/03/2020.
Does Rachel Ivanov, MSN, APRN, PMHNP prescribe more brand-name or generic drugs? ▼
Rachel Ivanov, MSN, APRN, PMHNP's prescribing is 7% brand-name and 93% generic drugs by claim count, with $267K in brand drug costs.
How many Psychiatric/Mental Health Registered Nurse providers are there in the US? ▼
There are 11,949 Psychiatric/Mental Health Registered Nurse providers across 54 states in the US. The average Psychiatric/Mental Health Registered Nurse provider writes 830 Medicare Part D claims per year.
What drugs does Rachel Ivanov, MSN, APRN, PMHNP prescribe most often? ▼
Based on 2024 Medicare Part D data, Rachel Ivanov, MSN, APRN, PMHNP's most frequently prescribed drugs include Clonazepam, Trazodone Hcl, Quetiapine Fumarate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Rachel Ivanov, MSN, APRN, PMHNP accept Medicare? ▼
Rachel Ivanov, MSN, APRN, PMHNP appears in CMS Medicare data with 2,542 Part D claims and 257 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Rachel Ivanov, MSN, APRN, PMHNP's credentials? ▼
Rachel Ivanov, MSN, APRN, PMHNP's NPI is 1053916379 with credentials MSN, APRN, PMHNP. 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

Compiled from official public sources by the editorial process.

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.