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. 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
1K
Medicare Part D claims · 230 beneficiaries · Psychiatric/Mental Health Registered Nurse avg: 893
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
98.0699/100
▲ 15 pts above national avg 83.1 · [object Object]

What the federal data shows

RACHEL IVANOV, MSN, APRN, PMHNP reported a CMS MIPS final score of 98.0699/100 — above the 83.1 national average — and filed 1,194 Medicare Part D claims in 2023.

98.0699/100
MIPS score · +15 vs avg
1K
Part D claims, 2023
89%
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.

RACHEL IVANOV, MSN, APRN, PMHNP's MIPS score vs every scored U.S. clinician

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

98 Top 11% higher than 89% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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 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

11,711 US NPIs in this specialty

Medicare Part D claims

1,194 34% vs specialty avg

2023 prescription claims

Specialty avg: 893

MIPS final score

98.0699/100 14.96990000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Texas

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

Texas providers

Psychiatric/Mental Health Registered Nurse share within Texas

1. Psychiatric/Mental Health Registered Nurse42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Psychiatric/Mental Health Registered Nurse share within Texas

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
98.0699/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Psychiatric/Mental Health Registered Nurse) — 98.0699/100 vs national avg 83.1

0%100%National avg83%98.1%
MIPS final score (Psychiatric/Mental Health Registered Nurse) — 98.0699/100 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).

RACHEL IVANOV, MSN, APRN, PMHNP appears in the CMS NPPES registry as a Psychiatric/Mental Health Registered Nurse provider holding MSN, APRN, PMHNP credentials at 705 LANDA ST STE C, NEW BRAUNFELS, TX, 78130, with a listed phone of (210) 360-1590. NPI 1053916379 was issued on 12/03/2020. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what IVANOV 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 1,194 prescription claims written by this provider, covering 230 Medicare beneficiaries and totaling roughly $438K in drug spend, split 11% brand-name and 89% 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 98.0699/100 for the 2023 performance year (Quality 86.1398), compared with the national average of 83.1.

Psychiatric/Mental Health Registered Nurse is a mid-sized specialty nationwide, with 11,711 enrolled providers across 54 states and an average of 893 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

705 LANDA ST STE C
NEW BRAUNFELS, TX 78130

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
Avg: 83.1
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 · Typical

RACHEL IVANOV, MSN, APRN, PMHNP — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 1,194 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.

1,194
Total Claims
$438K
Total Drug Cost
230
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,570
Total Day Supply
45,910
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$378K
Generic Drug Cost
$60K

Patient Demographics

Average Patient Age
52.4 years
Avg HCC Risk Score
1.42
Gender Split
60% female / 40% male
Age Distribution
<65: 174, 65-74: 51, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What RACHEL IVANOV, MSN, APRN, PMHNP 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
Trazodone Hcl
75
Mirtazapine
47
Clonazepam
44
Olanzapine
43
Gabapentin
39
Hydroxyzine Hcl
36
Aripiprazole
34
Lorazepam
34
Duloxetine Hcl
33
Prazosin Hcl
33

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

Psychiatric/Mental Health Registered Nurse Overview

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

11,711
Psychiatric/Mental Health Registered Nurse Providers in US
54
States with Psychiatric/Mental Health Registered Nurse
893
Avg Claims per Provider

RACHEL IVANOV, MSN, APRN, PMHNP's 1,194 claims are above the specialty average of 893.

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.

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 2023, RACHEL IVANOV, MSN, APRN, PMHNP wrote 1,194 Medicare Part D claims totaling $438K in drug costs for 230 beneficiaries.
What is RACHEL IVANOV, MSN, APRN, PMHNP's Medicare quality score?
RACHEL IVANOV, MSN, APRN, PMHNP has a CMS MIPS Final Score of 98.0699/100 (Quality: 86.1398). The national average MIPS Final Score is 83.1. 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 11% brand-name and 89% generic drugs by claim count, with $378K in brand drug costs.
How many Psychiatric/Mental Health Registered Nurse providers are there in the US?
There are 11,711 Psychiatric/Mental Health Registered Nurse providers across 54 states in the US. The average Psychiatric/Mental Health Registered Nurse provider writes 893 Medicare Part D claims per year.
What drugs does RACHEL IVANOV, MSN, APRN, PMHNP prescribe most often?
Based on 2023 Medicare Part D data, RACHEL IVANOV, MSN, APRN, PMHNP's most frequently prescribed drugs include Trazodone Hcl, Mirtazapine, Clonazepam. 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 1,194 Part D claims and 230 Medicare beneficiaries in 2023. 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

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