2026 NPPES data Nurse Practitioner NPI 1649622291 MSN, APRN, AGPCNP-C
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RACHEL SAENZ, MSN, APRN, AGPCNP-C

Nurse Practitioner in PAHRUMP, Nevada. 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
6K
Medicare Part D claims · 278 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
5.0865/100
▼ 78 pts below national avg 83.1 · [object Object]
Industry payments
$219.66
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

RACHEL SAENZ, MSN, APRN, AGPCNP-C reported a CMS MIPS final score of 5.0865/100 — below the 83.1 national average — and filed 6,254 Medicare Part D claims in 2023.

5.0865/100
MIPS score · -78 vs avg
6K
Part D claims, 2023
85%
generic prescribing
$219.66
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.

RACHEL SAENZ, MSN, APRN, AGPCNP-C's MIPS score vs every scored U.S. clinician

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

5 2nd percentile higher than 2% of 477,587 scored providers

0–10: 8,684 scored providers (2%). This entry sits in this band. 10–20: 3,008 scored providers (1%). Above this entry. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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 SAENZ, MSN, APRN, AGPCNP-C?

Below national average

NPI registry status

Active

Issued 07/07/2016

NPI 1649622291

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

6,254 477% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

5.0865/100 78.0135% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Nevada

How Nurse Practitioner compares to other specialties among Nevada providers

Nevada providers

Nurse Practitioner share within Nevada

1. Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nurse Practitioner share within Nevada

Medicare quality performance — MIPS

RACHEL SAENZ, MSN, APRN, AGPCNP-C's 2023 MIPS final score plotted against the Nurse Practitioner national average

Below national average
MIPS Final Score
5.0865/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) — 5.0865/100 vs national avg 83.1

0%100%National avg83%5.1%
MIPS final score (Nurse Practitioner) — 5.0865/100 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 SAENZ, MSN, APRN, AGPCNP-C appears in the CMS NPPES registry as a Nurse Practitioner provider holding MSN, APRN, AGPCNP-C credentials at 2780 HOMESTEAD RD STE 105, PAHRUMP, NV, 89048, with a listed phone of (760) 382-5115. NPI 1649622291 was issued on 07/07/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SAENZ 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 6,254 prescription claims written by this provider, covering 278 Medicare beneficiaries and totaling roughly $1.0 million in drug spend, split 15% brand-name and 85% generic by claim count, with an opioid prescribing rate of 6.2%. 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 5.0865/100 for the 2023 performance year (Quality 0, Cost 16.9549), compared with the national average of 83.1.

Nurse Practitioner is a high-volume specialty nationwide, with 87,227 enrolled providers across 56 states and an average of 1,084 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

2780 HOMESTEAD RD STE 105
PAHRUMP, NV 89048

Provider Details

NPI 1649622291
Specialty Nurse Practitioner
Credentials MSN, APRN, AGPCNP-C
Gender Female
NPI Issued 07/07/2016

CMS Quality Score (MIPS)

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

5.0865
Final Score
Avg: 83.1
0
Quality
16.9549
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where RACHEL SAENZ, MSN, APRN, AGPCNP-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.

DESERT PULMONARY REHABILITATION AND DIAGNOSTICS LLC
LAS VEGAS, NV

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 SAENZ, MSN, APRN, AGPCNP-C. Source: openpaymentsdata.cms.gov.

Total received

$220

Largest payer

ABBVIE 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 SAENZ, MSN, APRN, AGPCNP-C — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 6,254 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.

6,254
Total Claims
$1.0M
Total Drug Cost
278
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
10,005
Total Day Supply
279,345
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$870K
Generic Drug Cost
$131K
Opioid Claims
385 (6.2% rate)
Antibiotic Claims
395

Patient Demographics

Average Patient Age
67.4 years
Avg HCC Risk Score
2.21
Gender Split
60% female / 40% male
Age Distribution
<65: 88, 65-74: 108, 75-84: 49, 85+: 33

Top Prescribed Drugs (Medicare Part D)

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

What RACHEL SAENZ, MSN, APRN, AGPCNP-C 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
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
219
Gabapentin
209
Atorvastatin Calcium
178
Levothyroxine Sodium
147
Pantoprazole Sodium
147
Furosemide
141
Amlodipine Besylate
131
Montelukast Sodium
124
Quetiapine Fumarate
121
Ventolin Hfa
Albuterol Sulfate
121

* 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 SAENZ, MSN, APRN, AGPCNP-C fits within the Nurse Practitioner landscape nationally.

87,227
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,084
Avg Claims per Provider

RACHEL SAENZ, MSN, APRN, AGPCNP-C's 6,254 claims are above the specialty average of 1,084.

Nearby Nurse Practitioner Providers in Nevada

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

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

Frequently Asked Questions

What is RACHEL SAENZ, MSN, APRN, AGPCNP-C's specialty?
RACHEL SAENZ, MSN, APRN, AGPCNP-C specializes in Nurse Practitioner and practices in PAHRUMP, Nevada. Credentials: MSN, APRN, AGPCNP-C.
How much does RACHEL SAENZ, MSN, APRN, AGPCNP-C prescribe under Medicare Part D?
In 2023, RACHEL SAENZ, MSN, APRN, AGPCNP-C wrote 6,254 Medicare Part D claims totaling $1.0M in drug costs for 278 beneficiaries.
What is RACHEL SAENZ, MSN, APRN, AGPCNP-C's Medicare quality score?
RACHEL SAENZ, MSN, APRN, AGPCNP-C has a CMS MIPS Final Score of 5.0865/100 (Quality: 0, Cost: 16.9549). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RACHEL SAENZ, MSN, APRN, AGPCNP-C located?
RACHEL SAENZ, MSN, APRN, AGPCNP-C is located at 2780 HOMESTEAD RD STE 105, PAHRUMP, NV, 89048. Phone: (760) 382-5115.
What is RACHEL SAENZ, MSN, APRN, AGPCNP-C's NPI number?
RACHEL SAENZ, MSN, APRN, AGPCNP-C's National Provider Identifier (NPI) is 1649622291, issued on 07/07/2016.
Does RACHEL SAENZ, MSN, APRN, AGPCNP-C prescribe more brand-name or generic drugs?
RACHEL SAENZ, MSN, APRN, AGPCNP-C's prescribing is 15% brand-name and 85% generic drugs by claim count, with $870K in brand drug costs.
Does RACHEL SAENZ, MSN, APRN, AGPCNP-C prescribe opioids?
Yes, RACHEL SAENZ, MSN, APRN, AGPCNP-C had 385 opioid claims in 2023 with an opioid prescribing rate of 6.2%.
How many Nurse Practitioner providers are there in the US?
There are 87,227 Nurse Practitioner providers across 56 states in the US. The average Nurse Practitioner provider writes 1,084 Medicare Part D claims per year.
What drugs does RACHEL SAENZ, MSN, APRN, AGPCNP-C prescribe most often?
Based on 2023 Medicare Part D data, RACHEL SAENZ, MSN, APRN, AGPCNP-C's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Gabapentin, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RACHEL SAENZ, MSN, APRN, AGPCNP-C accept Medicare?
RACHEL SAENZ, MSN, APRN, AGPCNP-C appears in CMS Medicare data with 6,254 Part D claims and 278 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RACHEL SAENZ, MSN, APRN, AGPCNP-C's credentials?
RACHEL SAENZ, MSN, APRN, AGPCNP-C's NPI is 1649622291 with credentials MSN, APRN, AGPCNP-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

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