2026 NPPES data Nurse Practitioner NPI 1821693037 MSN, APRN, FNP-C
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RAPHAELE ALAURA, MSN, APRN, FNP-C

Nurse Practitioner in LAS VEGAS, 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
701
Medicare Part D claims · 236 beneficiaries · Nurse Practitioner avg: 1K
MIPS score
76.2644/100
▼ 7 pts below national avg 83.1 · [object Object]
Industry payments
$2.3K
90 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: RAPHAELE ALAURA, MSN, APRN, FNP-C is a Nurse Practitioner ([object Object]) practicing in LAS VEGAS, Nevada with a Medicare Part D prescribing footprint of 701 claims across 236 beneficiaries . Their CMS MIPS Final Score of 76.2644/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $2.3K across 90 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: RAPHAELE ALAURA, MSN, APRN, FNP-C reported a CMS MIPS final score of 76.2644 out of 100, below the 83.1 national average, and filed 701 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

RAPHAELE ALAURA, MSN, APRN, FNP-C at a glance

Below national average

NPI registry status

Active

Issued 12/03/2020

NPI 1821693037

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

701 35% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

76.2644/100 6.8355999999999995% pts

Above neutral 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

RAPHAELE ALAURA, MSN, APRN, FNP-C's 2023 MIPS final score plotted against the Nurse Practitioner national average

Below national average
MIPS Final Score
76.2644/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) — 76.2644/100 vs national avg 83.1

0%100%National avg83%76.3%
MIPS final score (Nurse Practitioner) — 76.2644/100 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).

RAPHAELE ALAURA, MSN, APRN, FNP-C is a Nurse Practitioner provider practicing in LAS VEGAS, Nevada, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MSN, APRN, FNP-C. NPI: 1821693037. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

RAPHAELE ALAURA, MSN, APRN, FNP-C appears in the CMS NPPES registry as a Nurse Practitioner provider holding MSN, APRN, FNP-C credentials at 9674 BOUNCING BALL ST, LAS VEGAS, NV, 89178, with a listed phone of (702) 927-5714. NPI 1821693037 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 ALAURA 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 701 prescription claims written by this provider, covering 236 Medicare beneficiaries and totaling roughly $201K in drug spend, with an opioid prescribing rate of 10.4%. 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 76.2644/100 for the 2023 performance year (Quality 88.9532, Cost 15.6359), 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

9674 BOUNCING BALL ST
LAS VEGAS, NV 89178

Provider Details

NPI 1821693037
Specialty Nurse Practitioner
Credentials MSN, APRN, FNP-C
Gender Male
NPI Issued 12/03/2020

CMS Quality Score (MIPS)

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

76.2644
Final Score
Avg: 83.1
88.9532
Quality
15.6359
Cost
100
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where RAPHAELE ALAURA, MSN, APRN, FNP-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.

S2 HEALTH PLLC
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 RAPHAELE ALAURA, MSN, APRN, FNP-C. Source: openpaymentsdata.cms.gov.

Total received

$2.3K

Largest payer

Novartis Pharmaceuticals 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

701
Total Claims
$201K
Total Drug Cost
236
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
956
Total Day Supply
26,287
Generic Drug Cost
$14K
Opioid Claims
73 (10.4% rate)
Antibiotic Claims
33

Patient Demographics

Average Patient Age
72.9 years
Avg HCC Risk Score
2.81
Gender Split
56% female / 44% male
Age Distribution
<65: 23, 65-74: 108, 75-84: 78, 85+: 27

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Prochlorperazine Maleate
36
Ondansetron Odt
Ondansetron
34
Alprazolam
26
Methylprednisolone
26
Amlodipine Besylate
25
Eliquis
Apixaban
24
Anastrozole
22
Triamcinolone Acetonide
22
Oxycodone Hcl
18
Pantoprazole Sodium
18

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

Nurse Practitioner Overview

How RAPHAELE ALAURA, MSN, APRN, FNP-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

RAPHAELE ALAURA, MSN, APRN, FNP-C's 701 claims are below 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 ALAURA.

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

Frequently Asked Questions

What is RAPHAELE ALAURA, MSN, APRN, FNP-C's specialty?
RAPHAELE ALAURA, MSN, APRN, FNP-C specializes in Nurse Practitioner and practices in LAS VEGAS, Nevada. Credentials: MSN, APRN, FNP-C.
How much does RAPHAELE ALAURA, MSN, APRN, FNP-C prescribe under Medicare Part D?
In 2023, RAPHAELE ALAURA, MSN, APRN, FNP-C wrote 701 Medicare Part D claims totaling $201K in drug costs for 236 beneficiaries.
What is RAPHAELE ALAURA, MSN, APRN, FNP-C's Medicare quality score?
RAPHAELE ALAURA, MSN, APRN, FNP-C has a CMS MIPS Final Score of 76.2644/100 (Quality: 88.9532, Cost: 15.6359). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RAPHAELE ALAURA, MSN, APRN, FNP-C located?
RAPHAELE ALAURA, MSN, APRN, FNP-C is located at 9674 BOUNCING BALL ST, LAS VEGAS, NV, 89178. Phone: (702) 927-5714.
What is RAPHAELE ALAURA, MSN, APRN, FNP-C's NPI number?
RAPHAELE ALAURA, MSN, APRN, FNP-C's National Provider Identifier (NPI) is 1821693037, issued on 12/03/2020.
Does RAPHAELE ALAURA, MSN, APRN, FNP-C prescribe opioids?
Yes, RAPHAELE ALAURA, MSN, APRN, FNP-C had 73 opioid claims in 2023 with an opioid prescribing rate of 10.4%.
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 RAPHAELE ALAURA, MSN, APRN, FNP-C prescribe most often?
Based on 2023 Medicare Part D data, RAPHAELE ALAURA, MSN, APRN, FNP-C's most frequently prescribed drugs include Prochlorperazine Maleate, Ondansetron Odt, Alprazolam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RAPHAELE ALAURA, MSN, APRN, FNP-C accept Medicare?
RAPHAELE ALAURA, MSN, APRN, FNP-C appears in CMS Medicare data with 701 Part D claims and 236 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RAPHAELE ALAURA, MSN, APRN, FNP-C's credentials?
RAPHAELE ALAURA, MSN, APRN, FNP-C's NPI is 1821693037 with credentials MSN, APRN, FNP-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