2026 NPPES data Nurse Practitioner NPI 1538404074 CRNP
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Rashmi Agarwal, CRNP

Nurse Practitioner in Hershey, Pennsylvania.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 87,227 in 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
2K
Medicare Part D claims · 239 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
76%
generic claims · 24% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
71.8/100
▼ 11 pts below national avg 83.1 · Mid-tier
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Rashmi Agarwal, CRNP reported a CMS MIPS final score of 71.8/100 - below the 83.1 national average - and filed 1,784 Medicare Part D claims in 2023.

71.8/100
MIPS score · -11 vs avg
2K
Part D claims, 2023
76%
generic prescribing

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.

Rashmi Agarwal, CRNP's MIPS score vs every scored U.S. clinician

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

72 9th percentile higher than 9% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 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

Where Rashmi Agarwal, CRNP sits

This provider among nurse practitioner peers

Across the 13,476 nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Rashmi Agarwal, CRNP writes more Part D claims than 82% of them and scores higher on MIPS quality than 8% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.148.372.496.6Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 45Rashmi Agarwal, CRNP-Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 8
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one nurse practitioner peer from a representative sample of 60; the gold marker is Rashmi Agarwal, CRNP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Rashmi Agarwal, CRNP?

Below national average

NPI registry status

Active

Issued 12/11/2012

NPI 1538404074

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

1,784 65% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

71.8/100 11.3 pts vs avg

Mid-tier band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Nurse Practitioner compares to other specialties among Pennsylvania providers

Pennsylvania providers
Student in an Organized Health Care Education/Training Program - 5.6%Student in an Organized Health Care Education/Training Program5.6%Pharmacist - 5%Pharmacist5%Physical Therapist - 4.9%Physical Therapist4.9%Mental Health Counselor - 3.9%Mental Health Counselor3.9%Internal Medicine Physician - 3.3%Internal Medicine Physician3.3%Professional Counselor - 3.2%Professional Counselor3.2%Nurse Practitioner - 1.4%Nurse Practitioner1.4%
Largest specialties in Pennsylvania (% of in-state providers)

Medicare quality performance, MIPS

Rashmi Agarwal, CRNP's 2023 MIPS final score plotted against the Nurse Practitioner national average

Below national average
MIPS Final Score
71.8/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) - 71.8/100 vs national avg 83.1

0%100%National avg83%71.8%
MIPS final score (Nurse Practitioner) - 71.8/100 vs national avg 83.1
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).

Rashmi Agarwal, CRNP appears in the CMS NPPES registry as a Nurse Practitioner provider holding CRNP credentials at 500 UNIVERSITY DR, Hershey, PA, 17033, with a listed phone of (800) 243-1455. NPI 1538404074 was issued on 12/11/2012.

Medicare Part D records for calendar year 2023 show 1,784 prescription claims written by this provider, covering 239 Medicare beneficiaries and totaling roughly $508K in drug spend, split 24% brand-name and 76% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 71.8/100 for the 2023 performance year (Quality 48.3, Cost 57.6), 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

500 UNIVERSITY DR
Hershey, PA 17033

Provider Details

NPI 1538404074
Specialty Nurse Practitioner
Credentials CRNP
Gender Female
NPI Issued 12/11/2012

CMS Quality Score (MIPS)

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

71.7884
Final Score
Avg: 83.1
48.3237
Quality
57.6377
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Rashmi Agarwal, CRNP 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.

The Milton S Hershey Medical Center Physicians Group
Hershey, PA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context - Pennsylvania PA-BOM 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Rashmi Agarwal, CRNP. To verify Rashmi Agarwal, CRNP's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Rashmi Agarwal, CRNP - brand share 24.0%
Nurse Practitioner average

24% brand-name claims vs 76% generic, on 1,784 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.

1,784
Total Claims
$508K
Total Drug Cost
239
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,462
Total Day Supply
70,542
Brand vs Generic
24% brand / 76% generic
Brand Drug Cost
$459K
Generic Drug Cost
$49K

Patient Demographics

Average Patient Age
65.0 years
Avg HCC Risk Score
1.47
Gender Split
66% female / 34% male
Age Distribution
<65: 92, 65-74: 78, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What Rashmi Agarwal, CRNP 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
Aimovig Autoinjector
Erenumab-Aooe
171
Memantine Hcl
151
Gabapentin
134
Amitriptyline Hcl
129
Nurtec Odt
Rimegepant Sulfate
118
Topiramate
112
Donepezil Hcl
82
Zonisamide
60
Tizanidine Hcl
57
Ubrelvy
Ubrogepant
49

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

Nurse Practitioner Overview

How Rashmi Agarwal, CRNP 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

Rashmi Agarwal, CRNP's 1,784 claims are above the specialty average of 1,084.

Nearby Nurse Practitioner Providers in Pennsylvania

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

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

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Pennsylvania medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Nurse Practitioner peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Rashmi Agarwal, CRNP's specialty?
Rashmi Agarwal, CRNP specializes in Nurse Practitioner and practices in Hershey, Pennsylvania. Credentials: CRNP.
How much does Rashmi Agarwal, CRNP prescribe under Medicare Part D?
In 2023, Rashmi Agarwal, CRNP wrote 1,784 Medicare Part D claims totaling $508K in drug costs for 239 beneficiaries.
What is Rashmi Agarwal, CRNP's Medicare quality score?
Rashmi Agarwal, CRNP has a CMS MIPS Final Score of 71.8/100 (Quality: 48.3, Cost: 57.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Rashmi Agarwal, CRNP located?
Rashmi Agarwal, CRNP is located at 500 UNIVERSITY DR, Hershey, PA, 17033. Phone: (800) 243-1455.
What is Rashmi Agarwal, CRNP's NPI number?
Rashmi Agarwal, CRNP's National Provider Identifier (NPI) is 1538404074, issued on 12/11/2012.
Does Rashmi Agarwal, CRNP prescribe more brand-name or generic drugs?
Rashmi Agarwal, CRNP's prescribing is 24% brand-name and 76% generic drugs by claim count, with $459K in brand drug costs.
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 Rashmi Agarwal, CRNP prescribe most often?
Based on 2023 Medicare Part D data, Rashmi Agarwal, CRNP's most frequently prescribed drugs include Aimovig Autoinjector, Memantine Hcl, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Rashmi Agarwal, CRNP accept Medicare?
Rashmi Agarwal, CRNP appears in CMS Medicare data with 1,784 Part D claims and 239 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Rashmi Agarwal, CRNP's credentials?
Rashmi Agarwal, CRNP's NPI is 1538404074 with credentials CRNP. 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 (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

Compiled from official public sources by the PlainDoctor editorial team.