NPI registry status
Active
2026 NPPES data Women's Health Nurse Practitioner NPI 1083340202 DNP, WHNP, CNM
Verify on CMS → Raquel Reyes, DNP, WHNP, CNM
Women's Health Nurse Practitioner in Newark, New Jersey.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,754 in Women's Health 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
33
Medicare Part D claims · 12 beneficiaries · Women's Health Nurse Practitioner avg: 269
Generic prescribing
39%
generic claims · 61% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
73.3/100
▼ 10 pts below national avg 83.5 · Mid-tier
Industry payments
$407.91
4 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Raquel Reyes, DNP, WHNP, CNM reported a CMS MIPS final score of 73.3/100 - below the 83.5 national average - and filed 33 Medicare Part D claims in 2024.
- 73.3/100
- MIPS score · -10 vs avg
- 33
- Part D claims, 2024
- 39%
- generic prescribing
- $407.91
- 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.
Federal trust snapshot
What official records show about Raquel Reyes, DNP, WHNP, CNM
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 1083340202), first enumerated 07/29/2022.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 33 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 73.3/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Hospital affiliations
2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$407.91 in reported industry payments (4 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- 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 1083340202 · Women's Health Nurse Practitioner
NPI-10 · ENUM-RECENT · TAX-MID · MIPS-LOW · RX-TRACE · BOOK-THIN · PHOTO-FINISH
- NPI-10 1083340202
- ENUM-RECENT 2022
- TAX-MID 10K Women's Health
- MIPS-LOW 73.3/100
- RX-TRACE 33
- BOOK-THIN 266 in New Jersey
- PHOTO-FINISH Evette Hearn, ARNP · ±0.1
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Alyce Abraham, N…
Alyce Abraham, N.P.
73.2 MIPS pts
- Ta'Neka Lindsay,…
Ta'Neka Lindsay, APRN
73.2 MIPS pts
- Carrie Thonen, A…
Carrie Thonen, APRN
73.2 MIPS pts
- Reyes · this pro…
Reyes · this provider
73.3 MIPS pts
- Evette Hearn, AR…
Evette Hearn, ARNP
73.4 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Raquel Reyes, DNP, WHNP, CNM'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.
73 ≥ 11th percentile 11% 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 Raquel Reyes, DNP, WHNP, CNM sits
This provider among women's health nurse practitioner peers
Across the 795 women's health nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Raquel Reyes, DNP, WHNP, CNM writes more Part D claims than 20% of them and scores higher on MIPS quality than 8% - 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 women's health nurse practitioner peer from a representative sample of 60; the gold marker is Raquel Reyes, DNP, WHNP, CNM. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Raquel Reyes, DNP, WHNP, CNM?
Below national averagePrimary specialty
Women's Health Nurse Practitioner
Medicare Part D claims
33 88% vs specialty avg
MIPS final score
73.3/100 10.2 pts vs avg
Specialty distribution in New Jersey
How Women's Health Nurse Practitioner compares to other specialties among New Jersey providers
Medicare quality performance, MIPS
Raquel Reyes, DNP, WHNP, CNM's 2023 MIPS final score plotted against the Women's Health Nurse Practitioner national average
- MIPS Final Score
- 73.3/100
- 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 | 1083340202 |
|---|---|
| Specialty | Women's Health Nurse Practitioner |
| Credentials | DNP, WHNP, CNM |
| Gender | Female |
| NPI Issued | 07/29/2022 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
73.2773
Final Score
Measured-score avg: 83.5
44.8928
Quality
47.6995
Cost
83
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Raquel Reyes, DNP, WHNP, CNM 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.
Barnabas Health Medical Group PC
Newark, NJ
University Physician Associates OF New Jersey Inc
Newark, NJ
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 Raquel Reyes, DNP, WHNP, CNM. Source: openpaymentsdata.cms.gov.
Total received
$408
Largest payer
Astellas Pharma US 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 · Brand-heavy
Raquel Reyes, DNP, WHNP, CNM - brand share 61.0%
Women's Health Nurse Practitioner average
61% brand-name claims vs 39% generic, on 33 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.
33
Total Claims
$57K
Total Drug Cost
12
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 36.333
- Total Day Supply
- 787
- Brand vs Generic
- 61% brand / 39% generic
- Brand Drug Cost
- $57K
- Generic Drug Cost
- $101
Patient Demographics
- Average Patient Age
- 53.6 years
- Avg HCC Risk Score
- 1.20
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Triumeq Abacavir/Dolutegravir/Lamivudi | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Women's Health Nurse Practitioner Overview
How Raquel Reyes, DNP, WHNP, CNM fits within the Women's Health Nurse Practitioner landscape nationally.
9,754
Women's Health Nurse Practitioner Providers in US
55
States with Women's Health Nurse Practitioner
269
Avg Claims per Provider
Raquel Reyes, DNP, WHNP, CNM's 33 claims are below the specialty average of 269.
Nationwide Women's Health Nurse Practitioner peers with similar MIPS or enrollment year
Two federal-record peer sets for Reyes, both outside New Jersey so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (73.3 here).
Same NPPES enumeration year (2022)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Women's Health Nurse Practitioner Providers in New Jersey
Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as Reyes.
One of 266 Women's Health Nurse Practitioner providers enrolled in New Jersey, 5 are shown here.
Nadira Adams
Morristown, NJ
Shawna Alexander
WHNP
Voorhees, NJ
Tara Allen
WHNP-BC, CNM
Voorhees, NJ
Stephanie Allocca
WHNP
Livingston, NJ
Emily Anderson
APN
Plainsboro, NJ
Compare Women's Health Nurse Practitioner nationally: see state-by-state distribution →
Frequently Asked Questions
What is Raquel Reyes, DNP, WHNP, CNM's specialty? ▼
Raquel Reyes, DNP, WHNP, CNM specializes in Women's Health Nurse Practitioner and practices in Newark, New Jersey. Credentials: DNP, WHNP, CNM.
How much does Raquel Reyes, DNP, WHNP, CNM prescribe under Medicare Part D? ▼
In 2024, Raquel Reyes, DNP, WHNP, CNM wrote 33 Medicare Part D claims totaling $57K in drug costs for 12 beneficiaries.
What is Raquel Reyes, DNP, WHNP, CNM's Medicare quality score? ▼
Raquel Reyes, DNP, WHNP, CNM has a CMS MIPS Final Score of 73.3/100 (Quality: 44.9, Cost: 47.7). 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 Raquel Reyes, DNP, WHNP, CNM located? ▼
Raquel Reyes, DNP, WHNP, CNM is located at 140 BERGEN ST, Newark, NJ, 07103. Phone: (973) 972-7194.
What is Raquel Reyes, DNP, WHNP, CNM's NPI number? ▼
Raquel Reyes, DNP, WHNP, CNM's National Provider Identifier (NPI) is 1083340202, issued on 07/29/2022.
Does Raquel Reyes, DNP, WHNP, CNM prescribe more brand-name or generic drugs? ▼
Raquel Reyes, DNP, WHNP, CNM's prescribing is 61% brand-name and 39% generic drugs by claim count, with $57K in brand drug costs.
How many Women's Health Nurse Practitioner providers are there in the US? ▼
There are 9,754 Women's Health Nurse Practitioner providers across 55 states in the US. The average Women's Health Nurse Practitioner provider writes 269 Medicare Part D claims per year.
What drugs does Raquel Reyes, DNP, WHNP, CNM prescribe most often? ▼
Based on 2024 Medicare Part D data, Raquel Reyes, DNP, WHNP, CNM's most frequently prescribed drugs include Triumeq. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Raquel Reyes, DNP, WHNP, CNM accept Medicare? ▼
Raquel Reyes, DNP, WHNP, CNM appears in CMS Medicare data with 33 Part D claims and 12 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Raquel Reyes, DNP, WHNP, CNM's credentials? ▼
Raquel Reyes, DNP, WHNP, CNM's NPI is 1083340202 with credentials DNP, WHNP, CNM. 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.