2026 NPPES data Family Nurse Practitioner NPI 1215414099 FNP
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RACHELLE FISCHER, FNP

Family Nurse Practitioner in ROLLA, North Dakota. 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
2K
Medicare Part D claims · 126 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$13.88
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

RACHELLE FISCHER, FNP filed 2,321 Medicare Part D claims in 2023 as a Family Nurse Practitioner in ROLLA, North Dakota, prescribing 82% generic.

2K
Part D claims, 2023
82%
generic prescribing
$13.88
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.

RACHELLE FISCHER, FNP's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

2,321 Top 14% higher than 86% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about RACHELLE FISCHER, FNP?

Quality data not reported

NPI registry status

Active

Issued 07/24/2018

NPI 1215414099

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

2,321 90% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

Specialty distribution in North Dakota

How Family Nurse Practitioner compares to other specialties among North Dakota providers

North Dakota providers

Family Nurse Practitioner share within North Dakota

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

Specialty board-certification context

Estimated specialty board-certified rate — Family Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Family Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Family Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Family Nurse Practitioner) — ABMS / AOA estimate

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).

RACHELLE FISCHER, FNP appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding FNP credentials at 213 2ND AVE NE, ROLLA, ND, 58367, with a listed phone of (701) 477-3161. NPI 1215414099 was issued on 07/24/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FISCHER 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 2,321 prescription claims written by this provider, covering 126 Medicare beneficiaries and totaling roughly $280K in drug spend, split 18% brand-name and 82% generic by claim count, with an opioid prescribing rate of 1.8%. 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.

Family Nurse Practitioner is a high-volume specialty nationwide, with 209,817 enrolled providers across 56 states and an average of 1,222 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

213 2ND AVE NE
ROLLA, ND 58367

Provider Details

NPI 1215414099
Specialty Family Nurse Practitioner
Credentials FNP
Gender Female
NPI Issued 07/24/2018

Hospital and facility affiliations

Facilities where RACHELLE FISCHER, FNP 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.

MERITUS MEDICAL CENTER INC
HAGERSTOWN, MD
WALNUT STREET COMMUNITY HEALTH CENTER, INC.
HAGERSTOWN, MD

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 RACHELLE FISCHER, FNP. Source: openpaymentsdata.cms.gov.

Total received

$14

Largest payer

Exact Sciences Corporation

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

RACHELLE FISCHER, FNP — brand share 18.0%
Specialty average (est.)

18% brand-name claims vs 82% generic, on 2,321 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.

2,321
Total Claims
$280K
Total Drug Cost
126
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,538
Total Day Supply
101,268
Brand vs Generic
18% brand / 82% generic
Brand Drug Cost
$237K
Generic Drug Cost
$43K
Opioid Claims
41 (1.8% rate)
Antibiotic Claims
83

Patient Demographics

Average Patient Age
68.8 years
Avg HCC Risk Score
1.62
Gender Split
57% female / 43% male
Age Distribution
<65: 31, 65-74: 51, 75-84: 25, 85+: 19

Top Prescribed Drugs (Medicare Part D)

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

What RACHELLE FISCHER, FNP 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
Atorvastatin Calcium
106
Levothyroxine Sodium
95
Lisinopril
87
Metformin Hcl
87
Rosuvastatin Calcium
68
Hydrochlorothiazide
62
Potassium Chloride
59
Famotidine
55
Pantoprazole Sodium
51
Warfarin Sodium
46

* 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 RACHELLE FISCHER, FNP fits within the Family Nurse Practitioner landscape nationally.

209,817
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider

RACHELLE FISCHER, FNP's 2,321 claims are above the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in North Dakota

Other clinicians with the same primary specialty enrolled in North Dakota, drawn from the same CMS NPPES roster as FISCHER.

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

Frequently Asked Questions

What is RACHELLE FISCHER, FNP's specialty?
RACHELLE FISCHER, FNP specializes in Family Nurse Practitioner and practices in ROLLA, North Dakota. Credentials: FNP.
How much does RACHELLE FISCHER, FNP prescribe under Medicare Part D?
In 2023, RACHELLE FISCHER, FNP wrote 2,321 Medicare Part D claims totaling $280K in drug costs for 126 beneficiaries.
Where is RACHELLE FISCHER, FNP located?
RACHELLE FISCHER, FNP is located at 213 2ND AVE NE, ROLLA, ND, 58367. Phone: (701) 477-3161.
What is RACHELLE FISCHER, FNP's NPI number?
RACHELLE FISCHER, FNP's National Provider Identifier (NPI) is 1215414099, issued on 07/24/2018.
Does RACHELLE FISCHER, FNP prescribe more brand-name or generic drugs?
RACHELLE FISCHER, FNP's prescribing is 18% brand-name and 82% generic drugs by claim count, with $237K in brand drug costs.
Does RACHELLE FISCHER, FNP prescribe opioids?
Yes, RACHELLE FISCHER, FNP had 41 opioid claims in 2023 with an opioid prescribing rate of 1.8%.
How many Family Nurse Practitioner providers are there in the US?
There are 209,817 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,222 Medicare Part D claims per year.
What drugs does RACHELLE FISCHER, FNP prescribe most often?
Based on 2023 Medicare Part D data, RACHELLE FISCHER, FNP's most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RACHELLE FISCHER, FNP accept Medicare?
RACHELLE FISCHER, FNP appears in CMS Medicare data with 2,321 Part D claims and 126 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RACHELLE FISCHER, FNP's credentials?
RACHELLE FISCHER, FNP's NPI is 1215414099 with credentials FNP. 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.
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