NPI registry status
Active
2026 NPPES data Family Nurse Practitioner NPI 1730656034 APRN
Verify on CMS → Rachel Patel, APRN
Family Nurse Practitioner in Sun City, Arizona.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 216,959 in Family 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
235
Medicare Part D claims · 32 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
0%
generic claims · 60% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
80/100
▼ 3 pts below national avg 83.5 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Rachel Patel, APRN reported a CMS MIPS final score of 80/100 - below the 83.5 national average - and filed 235 Medicare Part D claims in 2024.
- 80/100
- MIPS score · -3 vs avg
- 235
- Part D claims, 2024
- 0%
- generic prescribing
- ≥30th
- 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 Patel, APRN
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 1730656034), first enumerated 10/25/2018.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 235 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 80/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- 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 1730656034 · Family Nurse Practitioner
NPI-10 · ENUM-RECENT · TAX-MEGA · MIPS-BELOW · RX-LIGHT · BOOK-MID · PHOTO-FINISH
- NPI-10 1730656034
- ENUM-RECENT 2018
- TAX-MEGA 217K Family Nurse
- MIPS-BELOW 80/100
- RX-LIGHT 235
- BOOK-MID 5,394 in Arizona
- PHOTO-FINISH Carol Barkhurst · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Patel · this pro…
Patel · this provider
80 MIPS pts
- Rachel Hinkle · …
Rachel Hinkle
80 MIPS pts
- Mary Mladenka-Do…
Mary Mladenka-Dowden
80 MIPS pts
- Carol Barkhurst …
Carol Barkhurst
80 MIPS pts
- Rachel Box · near
Rachel Box
80 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Rachel Patel, APRN'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.
80 ≥ 30th percentile 30% of 454,083 measured providers are in lower value bands
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 Patel, APRN sits
This provider among family nurse practitioner peers
Across the 26,556 family nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Rachel Patel, APRN writes more Part D claims than 38% of them and scores higher on MIPS quality than 28% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one family nurse practitioner peer from a representative sample of 60; the gold marker is Rachel Patel, APRN. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Rachel Patel, APRN?
Near national averagePrimary specialty
Family Nurse Practitioner
Medicare Part D claims
235 82% vs specialty avg
MIPS final score
80/100 3.5 pts vs avg
Specialty distribution in Arizona
How Family Nurse Practitioner compares to other specialties among Arizona providers
Medicare quality performance, MIPS
Rachel Patel, APRN's 2023 MIPS final score plotted against the Family Nurse Practitioner national average
- MIPS Final Score
- 80/100
- vs 83.5 national avg · 2023 performance year
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 | 1730656034 |
|---|---|
| Specialty | Family Nurse Practitioner |
| Credentials | APRN |
| Gender | Female |
| NPI Issued | 10/25/2018 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
80.0238
Final Score
Measured-score avg: 83.5
37.0793
Cost
98
Promoting Interoperability
Reporting: Group practice
Brand vs generic prescribing mix · Brand-heavy
Rachel Patel, APRN - brand share 60.0%
Family Nurse Practitioner average
60% brand-name claims vs 0% generic, on 235 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.
235
Total Claims
$446K
Total Drug Cost
32
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 291.6
- Total Day Supply
- 8,689
- Brand vs Generic
- 60% brand / 0% generic
- Brand Drug Cost
- $445K
Patient Demographics
- Average Patient Age
- 75.2 years
- Avg HCC Risk Score
- 1.66
- Gender Split
- 63% female / 38% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Rachel Patel, APRN prescribes most
Top Medicare Part D drugs by claim count, 2024
- Tymlos
Tymlos
131 claims
- Single Use Swab 45
Single Use Swab
45 claims
- Ultra-Fine Mini Pe… 36
Ultra-Fine Mini Pen Needle
36 claims
| Drug | Claims |
|---|---|
| Tymlos Abaloparatide | 131 |
| Single Use Swab Alcohol Antiseptic Pads | 45 |
| Ultra-Fine Mini Pen Needle Pen Needle, Diabetic | 36 |
* 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 Rachel Patel, APRN fits within the Family Nurse Practitioner landscape nationally.
216,959
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,302
Avg Claims per Provider
Rachel Patel, APRN's 235 claims are below the specialty average of 1,302.
Nationwide Family Nurse Practitioner peers with similar MIPS or enrollment year
Two federal-record peer sets for Patel, both outside Arizona so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (80 here).
Same NPPES enumeration year (2018)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Nurse Practitioner Providers in Arizona
Other clinicians with the same primary specialty enrolled in Arizona, drawn from the same CMS NPPES roster as Patel.
One of 5,394 Family Nurse Practitioner providers enrolled in Arizona, 5 are shown here.
Sharla Abalos
NP
Tucson, AZ
Dr. Kristian Abarca
DNP, FNP
Willcox, AZ
Rosa Abarca
FNP-BC, FNP-C
Yuma, AZ
Dorothy Abbey
Phoenix, AZ
Brady Abbott
Taylor, AZ
Compare Family Nurse Practitioner nationally: see state-by-state distribution →
Frequently Asked Questions
What is Rachel Patel, APRN's specialty? ▼
Rachel Patel, APRN specializes in Family Nurse Practitioner and practices in Sun City, Arizona. Credentials: APRN.
How much does Rachel Patel, APRN prescribe under Medicare Part D? ▼
In 2024, Rachel Patel, APRN wrote 235 Medicare Part D claims totaling $446K in drug costs for 32 beneficiaries.
What is Rachel Patel, APRN's Medicare quality score? ▼
Rachel Patel, APRN has a CMS MIPS Final Score of 80/100, Cost: 37.1. 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 Patel, APRN located? ▼
Rachel Patel, APRN is located at 13203 N 103RD AVE STE J1, Sun City, AZ, 85351. Phone: (623) 777-4747.
What is Rachel Patel, APRN's NPI number? ▼
Rachel Patel, APRN's National Provider Identifier (NPI) is 1730656034, issued on 10/25/2018.
Does Rachel Patel, APRN prescribe more brand-name or generic drugs? ▼
Rachel Patel, APRN's prescribing is 60% brand-name and 0% generic drugs by claim count, with $445K in brand drug costs.
How many Family Nurse Practitioner providers are there in the US? ▼
There are 216,959 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,302 Medicare Part D claims per year.
What drugs does Rachel Patel, APRN prescribe most often? ▼
Based on 2024 Medicare Part D data, Rachel Patel, APRN's most frequently prescribed drugs include Tymlos, Single Use Swab, Ultra-Fine Mini Pen Needle. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Rachel Patel, APRN accept Medicare? ▼
Rachel Patel, APRN appears in CMS Medicare data with 235 Part D claims and 32 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Rachel Patel, APRN's credentials? ▼
Rachel Patel, APRN's NPI is 1730656034 with credentials APRN. 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.